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HomeMy WebLinkAbout6201 WHITLEY CTENCROACHMENT 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 . . . . . 15-30000092 Date 12/11/15 Property Address 6201 WHITLEY CT Application type description. PW - ENCROACHMENT PERMIT Ower Contractor ----------- ------------ ________________________ PATTON MARK A & WINONA L OWNER 6201 WHITLEY CT EAKERSFIELD CA 93309 ( 66) 831-2605 ---------------------------------------------------------------------------- Permi[ ENCROACHMENT PERMIT Additional dear . Phone Access Code . 1757061 Permit Fee . . . . 208.00 Issue Date . . . . 12/11/15 Valuation 0. Qty Unit Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Existing 61 chain link fence with slats n the back yard of house behind sidewalk. Mark Patton (661) 979-3397 ---------------------------------------------------------------------'______ Fee steamer, Charged Paid Credited -------------------------------------------- Due -------- Permit Fee Total 208,00 208.00 .00 .00 Grand Total 200.00 200,00 .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. /%//1� �L— �/ Y "'t /') '6L 5 % {� �( ck lzV YG `4c�V) 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) Sd emit shall expire on date stated above. Signature of City Engn� . ~ a SBA„r ENCROACHMENT PERMIT L y APPLICATION FORM 0 ca �y CITY OF BAKERSFIELD � PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE IFO BAKERSFIELD CA 93301 (661)326-3724 Fax: (661) 852-2012 1 LOCATION OF ENCROACHMENT(Address required where available): (P261 ILUI l QIP_ CX21)(p6c-r- ICA If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION L FULL NAME OF APPLICANT ✓ 4t f414-” 7 �-7 COMPLETE ADDRESS: &20 wAl 4h, V 4 z PHONE: f01— 6�7 �i✓S �P (.4 �Zk?�z FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): O' CrA in L" PERIOD OF TIME FOR ENCROACHMENT:DEFINITE OTHER: ( ease-- Circle) CONTACT PERSONPHONE:ffo/—�f:7-5P' 3393 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 En i�pplicant 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 arc: Residences: Homeowners General Liability coverage in an amount of at least VW000.00 Commercial: Commercial Liability coverage in an amount of at least $1.000,000.00 Ak LIN 4 � /Q�' rvl- / Encroachment Permit Fee: $208.00 _\ SAPERMMT ENCROACHIEncreachment Permit Req Fonn.DOC January 2009 -- —B L B A K E R fi F I B L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 TO WHOM IT MAY CONCERN We the undersigned, have no objection to the construction of a fence beside the sidewalk within tie public right-of-way. whf -eBy:By:-rvla2/rleaf��' (Secet or proposed encro c ment) wnen eme or 620/ whI' I -eV at, Phme �- (Addmu or proposed encroachment) 9CHi9X5 1.) Name: "?V55EL1. &(2,"16t -1-T Date: Dec 4T Z0I9— Address: 6 0,jjc rre way 2.)Name: �a'U,Cana Date:`t 2615 Address: '3 i n$ w r e.!g (OJ Q_ 3.) Name: jj!�atcu, hdfnTJ,L Address: 7,-1_a� r.. �1� 1: j A e 4.) Name: Fe li to s"t• ZaFra Address: Ty�'41bn. 5.) Name: Address: 6.) Name: Address: Date: Z� — 0.t 20l S Date: Pee. y� dO(r Date: !�g • 61 , XVS Por n eo: erc remsoao lazy Ocmivt-0,'d115 Pape 1 Immane Rnadmq MCGRAW INSURANCE SERVICES P.O. BOX 00 ANAHEIM, CA 92815-0040 1-. WwW MARK A PATTDR� PATTON, WINONA L 6201 WHITLEY CT BAKERSFIELD, CA 93309 CALIFORNIA HO -3 Standard Homeowners insurance This is your Endorsement Page 11� Pacific Specialty Umianr W—Br PACIFIC SPECIALTY INSURANCE COMPANY FINANCIAL RATING: 'A' (EXCELLENT) BY AA BEST STATUS: ADMITTED I.—R — PRODUCER: B39619, (916)-626-3305 CHRISOBOOENINSUMNCE.COM RC BODEN INSURANCE SVCS INC 5842 LONETREE BLVD ROCKIN, CA 95765 —A $ slily. Nanape your arcaNnt. Pay Dills. For policy service/questions contact your producer at (916t6Ma305uCbx 1�?303SC0] Ub 962 -un (For claims service) Poky No.: FNG09JH41W PoI'ry TrF<: NO3 PBPFONALHO.NffOwNFR3 PoIq T.m: FpumYe 1 L 9N5m Sap®Iv 141n14x 12Llam S�miaN lim ............................:..............:.:............................................................................................................... AE 25% EXTENOEO REPLACEMENT COSI at ns a.— of Norsd L¢vsJ n eu lue'w 'ana M(-- MARK A PATTON. PATTON. WINONA L MARK A & WINONA L PATTON Tae Ielkylow bn etluf t Im de soko int--aoi �'aat® NAAACP 15. IU INSPECTION COMPLETED BE CORRECTION/CXANDE OF DWELLING DESCRIPTION Cwwge Smmry IuwsdL—a— 6'201"WILUiS'CT BARERSFIRD CA 93309 Please see next papa rob a full list of Coverages, Credits and adjustments applied to your policy, as Well am other available options. fovcnK Luvi� QAunib6 * DEO, UNLESS SPECIAL DED. BELOW ............................................:.............:....................................................... $1,000.00 ...............................:............ A DNELLING 4243,000.00 ............................:..............:.:............................................................................................................... AE 25% EXTENOEO REPLACEMENT COSI A2 CAOINAHCE CA LFIJ COVERAGE .............................................................................................................................................................. B OTHER 514,300.00 ............................................................................................................................................................... ......L... C PERSONAL PROPERTY $121,500.00 ............................................................................................................................................................. PROPER PERSON REPLACE COST .. ......AL ......TY .............................................................................................................................................................. D LOSS OF USE $48,600.00 E PERSONAL LIABILITY ....._...................................L..............b. ....................................................... EI ANIMAL LIAB IL ITV ............... ........... .....:............... ............................... $50.000.00 lowrnl5 vomy wmv®y®mm�.vPn Po4:y No: PNG MmJ5P4J 102j OnoFooB. ]AIS Page 2 PaRryLwmoy.Porvum lexaioMnp RmT Ywevuei WIAp Eybivga Pcifie SpciilryplkypoYbl TOSISNOTASJU '^ Any payinent information will be requested separately ((f opplicable). Please read your policy carefully for --rage derails. Please be aware that an independent inspection cannon, vitt coeduct the required exterior inspection of your property. You do not need'to be present for the inspection to occur. locermla U.. roury tuoun—(®um tap Y) PomyNm INGOW095D00(Gal Page $ Ou .fcovaage D,uA Coverage Linits Deductible Preatun .......................................... ........................................................ ..................... --- .............................. UH-Umg A DWELLING $243,000.00 $472.00 ....... ............... ..................................................... .................................................................................. RE 25% EXTENDED REPLACEMENT COST $30.00 ............................................................................................................................................................... B OTHER STRUCTURES $24,300.00 INC. ............................................................................................................................................................. Pm,uoah pnY C PERSONAL PROPERTY $121,500.00 INC. ... ..... ......... ..................................... ....................................................................................................... C1 REPLACE COST PERSONAL PROPERTY $122.00 ............................................................................................................................................................. Mdhftaei� NEW NEWLY ACQUIRED NOME DISCOUNT $47.00- .............................................. .............. .............................................................. 4y.00-.................................................................................................................................. I .......... ........ ........ Aauhp cmvgm S AGE OF WILLING SURCHARGE .$118.00 ............................................................................................................................................................. .nuubk DED, UNLESS SPECIAL OED. BEL DN. $1,000.00 INC. ............................................................................................................................................................. Policy roveragegremiun: ........................................................ POLICY FEE (Fully earn..) ........................................................ INSPECTION FEE (Fully earned) .......................................................... Total Poli, Premium after the Mange: Total Poli, Premien before the Mange: Difference: Total Prorated Preaim Charge: YmuM S4T110 M teiv.a� SyulJry ryll:yhaNvl rorty'eM InFar— faf. If oHmged, eta ANY eumWlmaircaY —CCVS IS NOT A BILL^ Any payment informatim, will be requested separately (if applicable). IWudenis Polley No: ENG PAONFW p:I O:�abv082a13 Page 4 Please read your policy carefallyfor coverage details. THIS POLICY DOES NOT INCLUDE OPTIONAL EARTHQUAKE COVERAGE. IahoMviefmmum We send certain notices such as coverage imemories and cancellation notices to the Pollaving: Ukabollc PARAMOUNT EQUITY, LLC $781 SIERRA COLLEGE BLVD ROSEVIILE, CA 95661 Loan No.: 5117142 ImuW P+uWtlC1nmcemty LedwWn PARAMOUNT EQUITY, LLC 0781 SIERRA COLLEGE BLVD ROSEVIILE, CA 95661 Loan No.: 5117142 R -f Year of construction: 1979 material: WOOD Type: ERNE Condition: Unknown Living Area Square footage: 1,352 Stated Age: 36 Number of Units: 1 Roof Type: Unknown Dwelling Category: STOR Garage: None Porches/Decks: None Fil,lace(s):. None Estimated Value: $232,000.00 Additional Adjustment:' Insured Value: $243,000.00 Dwelling Valuation Method: IND PSIC The dwelling coverage Should be an amount sufficient to replace the CAR in the Case of a total loss. Please reference the requirements of Insurance Regulation 2188.65 regarding estimating dwelling replacement cost. Please be aware that it 15 Ultimately the insured's responsibility to obtain adequate insurance coverage. If you feel that the dwelling replacement cost estimated above is insufficient, you should increase the coverage to the appropriate amount. The following statement is required by California Insurance Code Section 10103: 'The limit of liability for this structure (Coverage A) 1s based an an estimate of the cost to rebuild your home. including an approximate cost forlabor and materials in your area, and specific information that you have provided about your home. - 10,08@015 zlxwy Bo&y Noe ENG WSm50,00(02) ox,Awzo ,2015 Page 5 Your policy Does not Contain the following coverage options: - C2 ENHANCEMENT -JEWELRY, GOLW{ARE - E2 OPTIONAL PERSONAL INJURY E3 PERS. LIA. EXTENDED TO OTHER H EARTHQUAKE Please contact your producer to learn about these coverage options. Your policy premium does not income the following premium credits: CLM CLAIM FREE W/PSIC. DISCOUNT - CR1 BURGLARY PROTECTION CREDIT CR2 FIRE PROTECTION CREDIT - NPD: MULTI POLICY DISCOUNT Please contact your producer to see if you qualify for aMY additional premi um credits. Imp If a payment plan is utilized, a fully earned service charge will be added for each installment payment made by the. Insured. The maximum service charge applied per installment payment is $10.00. Service Charges are determined at the time a payment plan is selected. Service charges are not charged on down payments, on installments not tendered due to early payment of your premium balance, or on the entire premium payment. An installment invoice will be sent to the Insured Detailing the required payment amount and payment :due date. Payments must be received in our office prior to the due date or the policy will be cancelled for non-payment of premium. F.am a— For your protection California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject tofines and confinement in state prison. Any revisions, changes and/or Corrections made on the printed application after the information has been submitted online are not reflected on this Declarations page and are not part of the application. for insurance. If any information on the Declarations page is inaccurate, please notify us In writing via US Mail to: For claims reporting, please Call: 1400-962-1112. For poli 4Y service, please call: 1-800-303-5000. ,A.fe." McGraw Insorance Service RTTN: Underwriting Dept. PO BOX 40 Anaheim, CA 92815-0610 wmy no: cNc od1o9»oo ryzT ckvba,Mlls Page b lmpaum lafmmtbn A W n Ymv Policy Based on the information you have provided, your policy has been issued subject to the following coverage forms and endorsements. Please note that some of these endorsements may limit certain portions of your coverage. Others add optional coverages that you have selected. These are summary descriptions only. Please read the actual policy forms and endorsements to determine the exact level oP coverage your endorsed policy provides. We highly recommend reviewing your coverage with your insurance producer. xOd IEa9A HO -3 H.-- Palely This is your basic coverage form and it is subject to the various endorsements. noted below. churnfru.n w&.,mlk—'B c—, 1—, This endorsement provides state -mandated coverage for a registered domestic partner. HO�Po(I,d) \VmFas' Compewaim This endorsement provides State -mandated workers compensation coverage for residence employees. W.ChAl2PL 10L0_'I ".. ."-i- This endorsement excludes coverage for losses stemming directly or indirectly from mold, fungi, mildew, spores, wet or dry rot, or similar organisms, regardless of cause. n CAPoI 0IUII Pahnsmk Organum. Fxlmiw This endorsement excludes coverage for losses stemming directly or indirectly from bacteria, yeasts, mildew, virus, fungi, mold, or their spores; mycotoxins or other metabolic products. NhCCA-PVI 1050:1 Tc,mum nW \Yss Edmiw This endorsement further defines the terms -terrorism' and 'war' and excludes loss due to either from your policy. Nvml vnm Pok�rnm In anm�mn This endorsement memorializes the steps we vi 11 take to safeguard your personal. information. This endorsement outlines the loss payable procedure when a mortgage company is listed in the Declarations. PA11-0AHO tPI. SI Uulxw. Amfdmnp' Unw—r,roc Hai Pnlml® This endorsement alters some of the cancellation and non -renewal provisions of your policyform to adhere to current California insurance laws and regulations. .111'EA.1V uui—iD wubkex1—nCv—w C wl rTrnwls This endorsement notes that, should a loss occur caused by deliberate act(s) by a present or past tenant of the. property, the deductible willbe increased t0 $2,500. This endorsement is not applicable if the polity deductible stated in the Declarations is $5,000. PMI1IPo121 S dcaxxt P,o'vw. Cx CSIX—i' PnWe'ch kopx9- Polka This endorsement amends the loss settlement provisions of your policy to provide you with an option to make a claim under this policy for lass or damage to buildings on an actual cash value basis. Pb11a1G.1) Trvmpoxrc Eml,ebn This endorsement excludes coverage for any loss stemming from the use or presence of a trampoline on the insured premises. PAI191Pb 11 $u amd�m Purl bivinw Ba VN SIJe Erelww This endorsement excludes coverage for any loss stemming from the use or presence N a swimming pool slide, diving board. orsimilar structure on the insured premises. 1MMS Policy No: FNG OmAA50A0 (Oi) JcSolcCQ b115 Page ) PM91Pl.21 Wletion cueN This endorsement automatically increases your dwelling beverage limit 3% annually to help the amount of your beverage provided by your policy to keep pace With inflation. However, it is important that you periodically review the coverage provided by your policy as the amount and type of insurance you purchased is ultimately your decision. This includes ensuring that you have adequate Coverage in the event of a large or total loss. mna(re.m n -w' rcu— This endorsement notes that, should your property become vacant or unoccupied, your policy will only provide Coverage for the perils of fire Or lightning, windstorm Or hail (unless otherwise excluded), seeks, Or volcanic eruption. NO Other coverage will be afforded by your policy until the property is no longer vacant or unoccupied. PM34(12a) 52.503 Sl,bmoit fix nw WddlimChim RaPaning(N0.3 cub) This endorsement adds a special limit of coverage t0 your policy of $2,500 total property and Welling coverage for wildfire smoke, soot and ash damage not reported to us within forty-five (45) days. PN4 (M. 1) 6a¢Ie�cUbhC Iw ion This endorsement excludes coverage for satellite dishes, antennas, their components and mounting hardware. Fwm No.MJ4(Pa.2) 6'ww..'attmsnl Con Cavecegr '% This endorsement provides additional dwelling coverage (Coverage P) of 25% above the limit specified on your Declarations in the event of a total loss of your insured Welling. Fam No.Pold(pa.2i 0.duu,xe m lancovenge This endorsement amends the loss settlement provision of your policy to include coverage, subject to your policy limits,. for upgrades in building construction that are required due to building codes, laws or ordinances. Fmm No. PoSHOIFG._I Px,-1 kPorlV War]amev Cmr This coverage amends the loss settlement provision of your policy form to provide coverage for personal property (Coverage C) on a replacement cost basis. If this endorsement is not applied, personal property is settled on an actual cash value basis, with the deduction of depreciation. Foam No.yJIY (Fd.21 LinN.a Nv'm+I L1aa114y Cnvmaye This endorsement limits the animal liability coverage provided. by the policy. When optional animal liability coverage is purchased. your policy provides liability coverage for some animals, but excludescoverage for exotic or unusual pets, certain specified breeds Of dOgS and any animal known to be vicious or With 0 previous bite history. Fmin Na. ex"'.. 21 C,Plvmbing Aow—Wn When you applied for insurance, you indicated that 100% of the pressurized plumbing inyour Melling is constructed from copper plumbing.. This endorsement excludes coverage for your plumbing and any loss stemming from your plumbing system if it is determined that 100% of the pressurized plumbing in your Melling is not copper. I— No. 436. e11hal, 21 lemeh l®P,, dnk, oamscoFni This endorsement amends loss payment provisions of your policy for the lienholder noted on your policy Declarations. Fmm No.FWS (Fd.A did amF a ugMeuig OWy Frvinsm¢m This endorsement excludes coverage for the mor of your Welling and interior damage due to failure of the roof caused by all perils except for fire and lightning. lata ,wountrc Cb Mn SyPoL(Ed. Zan, CA-H03orEND(Ed. 7uh IOMM15 pud wev�wl��+wN'1 Potiry Na:EN00W03A10U(U't5 2�atrace�ID15 'age e Irn:�w., mewwlbmw�� IO�fd115 E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: December 14, 2015 SUBJECT: Encroachment Permit Application for: 6201 Whitley Ct Name of Applicant: Mark & Winona Patton Description of Encroachment. Existing 6' high chain link fence with slats around backyard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience 14VII /I a el S PERMIMENCROACH-r AFFICW201 Whitley CLdoc B A h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager V FROM: Bob Wilson, Supervisor II, Subdivisions DATE: December 14, 2015 SUBJECT: Encroachment Permit Application for: 6201 Whitley Ct Name of Applicant: Mark & Winona Patton Description of Encroachment. Existing 6' high chain link with slats around backyard behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S TERMITS\ENCROACH\INSURANCEW201 Whitley Ctdoc