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HomeMy WebLinkAbout04-30000050 " i~ "7" ENCROACHMENT PERMIT ~ J?l~ 30/1--( CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN A VB BAKERSFIELD CA 93301 (661) 326-3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: fJursuarit~o 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 . . . . . 04-30000050 Date 6/14/04 pin number . . . . . . .656000 Property Address . . . 1400 GOLD RUSH CT Application description PW - ENCROACHMENT PERMIT Owner Contractor \ DOVER JOHN P & NANCY C 1400 GOLD RUSH CT BAKERSFIELD CA 93309 OWNER/BUILDER BAKERSFIELD CA 93301 ---------------------------------------------------------------------------- permit , . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 232876 150.00 6/14/04 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE EXISTING 6' FENCE W/3'RETAINING WALL W/6'REDWOOD FENCE ON TOP. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150.00 150.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit t an time. 'f. 'PfM/ ~ ~yZ Print Name i 'fsigna re of Applicant (Owner/Agent) 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) SUBST ANTIALL Y 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 Otf -~ _'-;r:-- t .-:: 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 provisions 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 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 th~ placing, erection, mainten~nce 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 issuance evidencing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. J ~ave read and acknowledge the above. ~Applicant's Initials , ;, ,) 7 -"-f ~ " 4 . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: June 30, 2004 SUBJECT: Encroachment Permit Application for 6' wall, from high side, with 3' retaining wall at back of sidewalk along side yard. John P. & Nancy C. Dover 1400 Gold Rush Court Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of 6' wall, from high side, with 3' retaining wall at back of sidewalk along side yard. The site is located at 1400 Gold Rush Court. The applicant has provided proof of appropriate insurance coverage to Risk Management, and has provided signatures of all immediate neighbors stating that they have no objection to the proposed construction. Based on their review, staff recommends approval of the permit. S:\PERMITS\ENCROACH\03-04 Permits\1400 Gold Rush Ct.doc , i ;41 . ~,' , I .-.;;~:- APPLICATION FOR ENCROACHMENT PEIC'HT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORJ."iL\: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit toplace, erect, use and maintain an encroachment on public property or right-of-way as therein defined. 1. Full name of applicant and complete address including phone nwnber: ..1, wJ 'Pf'lTYLt C\.L /),0 v'~ \ ~OO bo~o ~J VI (,.. 150 \lB'L-S f\ ~ ~. (A. q J}O 9 bb 1- kJ J - ~ 1.- 7 v 2. Nature or description of the encroachment for which this application is made: e';(?LA(~ EXu'n,J' C/ feNG€ WIlt\- 3' (k\'i(vJftJG o"./~'- Wlj).\ V fl.~O""()p() feN(/~ ON T9fJ 3. Location of the proposed encroachment: SOl.,\..'f\;.\-JIO~ (,,,,"13 tJF o<';''f\,J(})Al.~ -' o,.J IY1l0 bJl..O IL<<.C,H 4. Period of time for which the encroadunent is to be maintained: ~...,.,.....#' h-I~^I 'f I'" . (YN t.-..r Applicant agrees that if this application is granted, 3'p'plicant shall indemnify, defend and hold harmless City, its officers, agents and employees against any and allliablllty, claims, actions, causes of action or demands, whatsoever against them, or any pfthem, 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 encr?achment 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.YQQn the revocation thereofbvthe Cltv engineer. applicant will at his own cost and expense remove the same from the oub.1ic 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 oI 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 is: 1-\0 "" "'-0 "" ,J c1..J (0)/ (Yf..J'r(X(: .:::f t)o oJ 'DO 0 IN' n\ A c... S c.. Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Date: (0 I f/vy PER'IIT I HEREBY CERTIFY THAT I HAVE MADE A. ~ INVESTIGA nON OF THE FACTS STATED IN THE FOREGOING APPLICATION Ai'lD FIND ffi-\.T THE MAINTENk'lCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTA.I.'1TIALLY INTERFERE WITH THE USE OF THE P{]BLIC PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PtJBLIC PLACE; SAID APPLICATION IS THEREFORE (GRA.~TED) (DENIED). SAID PERMIT SHALL EXPIRE Date: No. rn- jOOGroSV SIgnature of City Engmeer , I ,. 'H. CllY OF. BAKERSFIELD · DEPARTMENT OF PUBLIC WORKS .. .;- o WHOM IT MAY CONCERN: We the undersigned f have no objection to the construction of a fence beside the . sidewalk within the public right of way. Ou.1'.^je("" L (Street for puposed encroachment) Bv: 10 ~ '^ DDv' U (Owners Name) of Il{OD. GoIS (2<-<0 k C't (Address of purposed encroachment) Phone: 0W!r- 65[--979) SIGNED: B'''~''tl. VVfJAVeR.~doJ,~ 1oo~ OVlhr-1,.(;,..{.c.. 134'w-S~L\& (A 1J509. . .i40\ "0o\J lkr[., C, . ~ ,M~lI.. Go.,.. \~ .r~ 1'-\01 ()~\Jl jfM~k C+ Date: {,,' s-= ~-j Date:0 ' r,(' ~a cf 1) Name: Address: 2) Name: Address: 6) Name: Address: 5 OC/[tt-t(,.C)Ale- Date: 0h/f .I I Date: ~1jf 'n.h/cPaie: 0/-5/ Or Date: 101 ~/O 'I . 3) Name: D A\J \9 tE: 'S6...r Address: 4) Name: Address: 1{)c t{ OlAlII'jda. ~\ . I 400 (wIJl jo1L..., f'~o<'~ .u rt..<sl.. h 1 ..#(ftL- ""I~. ) I t)rflo..,.I. )f , 0", "''^) ~ It. 'l~{ ~ '100q fl....~tj~ Ojr>V.<lt). .\.<\.1 \-\-1- '?tol o~~"-<,~J~ ~J5 ~ .} Interinsurance Exchange of the Automobile Club Members' Preferred Homeowners Policy Coverages and Limits Modified Renewal Declarations - Form 3 We are pleased to offer you a renewal for your homeowners insurance policy. To renew your policy, send at least the minimum payment on or before the due date. Insurance is in effect only for the coverages and limits of liability shown on this declaration page and as set forth in the insurance policy and endorsements. These declarations, together with the contract and the endorsements in effect, complete your policy. YOUR NAME AND MAILING ADDRESS DOVER, JOHN P AND NANCY C 1400 GOLD RUSH CT BAKERSFIELD CA 93309 HOMEOWNERS POLICY NUMBER CHO 001501341 POLICY PERIOD (PACIFIC STANDARD TIME) THIS POLICY IS EFFECTIVE -FROM: 06-02~2004 12:01 A.M. TO: 06-02-2005 12:01 A.M. LOCATION OF RESIDENCE PREMISES PREMIUM SUMMARY Additional Coverages Increased Increased Basic Less Personal Medical Residence CIGA TOTAL Coverages Discounts Liability Payments Employees Endorsements Assessment PREMIUM $1,652 - $529 + $42 + $9 + + $112 + = $1,286 PREMIUM DISCOUNTS APPLIED TO YOUR POLICY Muili Poi icy Fire Alarm Deadbolt Loyalty 6 yrs COVERAGES AND LIMITS OF LIABILITY - Coverages are subjecllo all conditions of this policy. Part I Property Coverages Description Dwelling Other Structures Unscheduled Personal Property Loss of Use Building Code Upgrade Coverage A ** Coverage B** Coverage C Other Coverages 1. (20% of the amount of Coverage A) Other Coverages 5. (10% of the amount of Coverage A) *A deductible of $500 will apply as indicated per occurrence. Part 1 limits may have been adjusted to reflect an updated replacement cost. "Coverage A and Coverage B - Guaranteed Replacement Cost Included. Part /I Liability Coverages Description Personal Liability Deductible. Yes Yes Yes No Yes Limits $ 300,000 $ 30,000 $ 225,000 Medical Payments to Others Coverage D (Bodily Injury and Property Damage) - Each Occurrence (Personal Injury) in the Aggregate Coverage E - Each Person Limits $ 500,000 $ 5,000 Part IV Workers' Compensations and Employers' Liability Coverages Description Workers' Compensation Coverage F - Statutory Employers' Liability Coverage G (per conditions Part IV. Provision 3.) Residence Employee - Outservant(s) 00 / Inservant(s) 00 THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE ) PROCESS DATE 04-27-2004 PLEASE KEEP WITH YOUR POLICY (SEE REVERSE) CAH0201A E200404 .... " Interinsurance Exchange of the Automobile Club Members' Preferred Homeowners Policy Coverages and Limits Modified Renewal Declarations - Form 3 (Continued) HOMEOWNERS POLICY NUMBER CHO 001501341 POLICY EFFECTIVE FROM: 06-02-2004 TO: 06-02-2005 ENDORSEMENTS IN EFFECT Endorsement Number HO-216. HO-290 438BFU HO-2283 Description ALARM OR FIRE PROTECTION SYSTEM PERSONAL PROPERTY REPLACEMENT COST lENDER'S lOSS PAYABLE ENDORSEMENT AMENDATORY ENDORSEMENT HO-3 Premium $ 112 Any loss under Part I - PROPERTY COVERAGES - is payable as interest may appear to you and the following listed: MORTGAGEE lOAN # 23615177 CHASE MANHATTAN MORTGAGE CORPORATION ITS SUCCESSORS AND/OR ASSIGNS PO BOX 47020 \ DORAVlllE GA 30362 CAH02008 E200404 For Questions or Changes Call 1-866-890-2272 1st Ed. 12-ll3 ..;.] ScA\k 'I,;:;." =- \ ' r I .'. '. ','. -.... --....,...,;;;~-- ,,4) \'0' :iII) " ~ N ~LArJ ~fl- l~o0 ~dl\Ac€ EX I 5T>,-./L 60LO {LIA.H\ (1 ~' (eNc-f r,.J 1M I -~ \ I '- l ~~ J v ~~ : ',\ \- ~ I J ~ , " \) y ~ 1 ..:1:- ~ I ~ oJ '5 0 ~ ~ 0 ~ 0 -.J ::r ~ \j &," x 8" )( 1(,," tv'ASo,...Jp./l'1 [Jlo(./L (Le(PnrJ I,JG W~L'- ~I 11'\l-L vJ l~ {.,I Fev-J'-< 'I'L ru:-!J(It(L. I A\.L cQ\..IA.......J! f,\.I-~ fv'Ji\ (LiiL) '{ " W \ f\..\ (.0 N ((li;.~ I t.. !'So L.:n or-! 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'"'-0/"- ;,......... 4'" .... \---- ~ . - B~i\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: June 25,2004 SUBJECT: Encroachment Permit Application for 1400 Gold Rush Court. John P. & Nancy C. Dover 9' block wall (6'wall w13' retaining) at back of sidewalk along side yard Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\lNSURANC\1400 Gold Rush Cl.doc -c;-i. <l.O ,"- 'i~-'; ~ . - B~i\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: June 25,2004 SUBJECT: Encroachment Permit Application for 1400 Gold Rush Court. John P. & Nancy C. Dover 9' block wall (6'wall w13' retaining) at back of sidewalk along side yard. Please review the attached encroachment permit and return to me at your earliest convenience. c /t'b /1/00'1 _ L.O '5 f2-& .ou I flrd'4ewr; O. ~. ITS 1'0 """" Jh., A:" " 51VC;- ~1t1~O f/'lfJ ;I' '",rvv FC-N~e j.}UJ}.}u I IJ- /Y1!1-lC/J-AclWI tlett:Hr tJ r- b r-f ~~ t-A UIJ(C,I P,tl.- c~. S:\PERMITS\ENCROACH\TRAFFIC\1400 Gold Rush Ct.doc qJ;