HomeMy WebLinkAbout07-30000031
ENCROACHMENT 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 . . . . .
Property Address . . . . . .
Application type description
07-30000031 Date
2231 PINE ST
PW - ENCROACHMENT PERMIT
8/23/07
Owner
Contractor
HILL BARTON H & N NAPIER
2231 PINE ST
BAKERSFIELD CA 93301
OWNER
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Permit . . . . .
Additional desc .
phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
720185
200.00
8/23/07
valuation
o
Qty Unit Charge Per
1.00 200.0000 EA PW ENCROACHMENT
Extension
200.00
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Special Notes and Comments
Construct 4' high maximum wrought iron
gate with: [2] pilars, 2 walls,and
adjacent walkway.
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Fee summary Charged .paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 200.00 200.00 .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
pe~'~* W' ~, \SA \l-T H \ L~
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)
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.
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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 liagility, 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 the placing, erection,
maintenance or existence of s~id 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.
I have read and acknowledge the above.
_Applicant's Initials
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: August 23,2007
SUBJECT: Encroachment Permit Application for: 2231 Pine St.
Name of Applicant: Bart Hill
Description of Encroachment: Construct 4' high maximum wrought iron
gate with: [2] pilars, 2 walls, and adjacent walkway.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to work on city property until they buy said property.
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\_Approval memo.doc
07-3/
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PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: August 23, 2007
SUBJECT: Encroachment Permit Application for: 2231 Pine St.
Name of Applicant: Bart Hill
Description of Encroachment: Build wrought iron gate with [2J pillars and 2
sidewalls on property to be 6'6" from curb.
Please review the attached encroachment permit and return to me at your earliest convenience.
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PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ralph Korn, Risk Manager
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
August 23, 2007
SUBJECT:
Encroachment Permit Application for:
Name of Applicant:
Description of Encroachment:
2231 PINE ST.
BART HILL
Build wrought iron gate with two [2J pilars
and [2J sidewalls to 6.5' from the curb.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANCLlnsurance memo.doc
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~ 1; APPLICATION FOR ENCROACHMENT PER.\1IT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOR.J.~L.\:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a pennit
to place, er~t, use and maintain an encro~chment on public property or right-of-way as therein defined.
. 1. Full name of aDDlicant and comolete address includin2 Dhone nwnber:
[S J:>.. R, '* \ L L ( ;).. #:-3 \ P\J\JG" S I/~A \(.[](!1f.J I;LD I 3 3 0 ~ ( S t4 '
2. Nature or description of the encroachment for which this application is made: Q.b J.N ~ "\ IL \) C,.:r\ ~ tv
Q f- ~lU() f\L~VL\ .MAt> II'JS, kLl N\\tJ-v\ o\f- A-1A l ~f0
hA\~. . AT_Tt-\.~ ~D.. E.RDN T W~L.~~lf.;.walfoAJ. N;J-S'Sldes ofAolf.
3. Location of the proposed encroachment: S \ X F l::fl:/T '/ ~ II l!i.J S (D c;-
D IF ST\IL~ Q\)VL~ ..
4. Period of time for which the encroachment is to be maintained:
\D fZGS \ Dlr'\Ac.. CT, _r\Q...t>f'JT
P If(L )Y\.A:N &JI\T . _A D Dl n ~
'i Ma.()
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Applicant agrees that if this application is ~tcd. 8J?plicant shall indemnify. defend and hold harmless City. its
officers. agents and employees against any and allliablhty, claims. actions, causes of action or demandss 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)
. ~r maint~ce of said encroac~ent. 11te applic~t further ~grees to maintain tlie aforesaid cncro~cfunent during the
l.lfe of.slUd en~achment or ~ti1 such time that this penmt IS ~ev~kcd. ': . . . .. ..
Appli~ant further agrees that upon. the expiration of the pcrinit for which this application is made, if ~ted, or'lmQn
the revocation thereofbv the Cll" en~eer. applicant will at his own cost and cxDense remove the same from the DubHc
orooerth or right of way where the same is located, and restore said public property or ristht of way to the condition
as near y as that in which it was before the placing. erection, maintenance or existence or said encroachment. .
. .
Applicant further agrees to obtain and keep allliabilio/ insurance required by the City EngineCI'in full force and effect
. for however. long the encroachment remains. Appl1cant shall furnish the City Risk Manager with a Certificate of
Insurance evid~cing sufficient coverage for bOdily inj~ or property damage liability or both and required
endorsements evidencing the insurance required. The type(s) and amount(s) of insurance' coverage is:
.'Rt)~~b\'uNLm-~ POl.,\C':j fl:;SYl.1O!fA-L LI~/1I1~__ 4t .s001 ood
~~~LLA . .(JOL\L.~. ftmJO"\A.A-L L'k&Llf) '..:If s;otX),OOC
Applicant acknowledges the right of the City Engincer.pursuantto~Balsersfield MunicipalC9de ~Je~2.20 to
revoke the permit at. any time. .. . ~ \ ~ ~
Date: 2?-J."2,07 \ ~ - \.
..... '--SigD~ture f. pp dant ( wner or cpl'esentatlve)
PER.~1T .
I HEREBY CERTIFY THAT I HAVE MADEA..~ INVESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION AND FIND THAT THE MAINTENA.."iCE OF SAID ENCROACHMENT (1) wn.L
(NOT) S1.j'BST.~vrIALL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE Sk\1E IS TO
BE LOCATED k'ID (Z) wn.L (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAJD APPLICATION IS THEREFORE (GRA.~TED) (DENIE.n). SAID PE&~UT SHALL EXPIRE
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Date:
Slgnature of Cuy EngIneer
No.
01-3000003/
. CI":Y ,,~ @AKERSFIELD
., DEP,(RTPtlE"T OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
;..
We the undersigned. have no objection to the construction of a fence beside the
sidewalk within the public rtght of way.
PINE $T~
(Street for puposed encroachment)
'1'330.1
of Z 23 , PIN E S7r i B A KJ;' e.s. r,a 'b
(Address of purPosed encroachment)
SIGNED:
1) Name: -:-c.. ~ \-lli ~
Address: . 2..1-, 0 .pI ;... hS' 5~~"""""-
2) Name: ,'Sij.A./L. ~v----J
Address: 2- L \ "\ P , 11\J... . <Sh
. 3) Name: 'wI~---h-- LI~ . .
Address: d-~~~II<- -Sf
. 04) Name: ~' C'/ ~ ~:wwLv
Address: t-'2-Q 0 p\ l\ ~ ~.
5) Name:. 'Il rt' ' ~P,!.a tf'91
.~;::: ~tf1;fiF~:r
Bv~ BAR\" \~\LL
(Owners Name)
Phone:
33"0 - lS'i-L\-
Date: ~. I b ,~')
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. Date: y:- '/~'. J I
Date: ~ ,.2 0 - tl 7
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Date: & ..- Zn ~ C) 7
Qate: 2/ ~ 7
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HOMEOWNER DECLARATION
Eagle West Insurance Company
INSURED COPY
Name and Address of Insured
Hill, Barton H & N Napier
P.O. Box 1907
Bakersfield, CA 93303
Servicing Agency - 58850 - ewp
Eagle West Premier
4709 Stockdale Hwy
Bakersfield, CA 93309
Telephone: (661) 837-9378
Policy #: 8-HOC-2-1041946
Declaration Type: Extension
Effective Date: 08/29/2007
Policy Period: From 08/29/2007 To 08/29/2008 12:01 a.m. standard time at the address of the Named Insured as stated herein.
This is Declaration #: 11 and when attached to the applicable forms, it completes the policy.
Transaction Description:
I Extension
Legal Text: Husband and wife as joint tenants
Policy Summary
Total Premium
Total
$1,585.00
$1,585.00
This is not a Bill. Any premium due will be applied to the Account Bill.
This is a replacement Declaration, counter signature is not required.
TO REPORT A CLAIM, CONTACT THE CLAIM SERVICE CENTER: (800) 986-9974
Process date: 07/09/2007
Named Insured: Hill, Barton H & N Napier
Policy #: 8-HOC-2-1041946 Declaration Type: Extension
Homeowner Declaration
Effective: 08/29/2cl'oT .-~.
Coverage Form - 3
Property Location: 2231 Pine Street, Bakersfield, CA 93301
Description: Construction: Frame; Year Built: 1946; Territory: 55; Protection Class: 3
Basic Coverage Limits and Premium
A Dwelling
B Other Structures
C Unscheduled Personal Property
D Additional Living Expense
E Personal Liability
F Medical Payments Each Person
Each Accident
Limit
$667,421
66,742
467,195
133,484
300,000 -
2,000
25,000
The limit of liability for this structure (Coverage A) is based on an estimate for 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.
As a Company, we will make property evaluations from information provided by you in
assessing the value of your home. As mentioned in the statement above, it is an estimate of
the cost to rebuild your home; however, your home may cost more to rebuild.
It remains your sole responsibility to maintain a limit of liability for the described dwelling
(Coverage A) that adequately corresponds to the amount it would cost to reconstruct your
entire dwelling at current prices.
Optional Coverages & Mandatory Fees
Specified Additional Amount of Insurance for Coverage A - Dwelling
Contents Replacement Cost
Cal-Pak Coverage (Includes $66,742, 10% limit for Ordinance or Law Coverage)
Identify Fraud Expense Coverage
Worker's Compensation (Mandatory)
Subtotal for Basic and Optional Coverages
Premium Credits and Surcharges
$1,000 Deductible Credit
Multi-Policy Discount
Renewal Credit
Protective Device Credit
Century Age Credit
Total Premium Credits and Surcharges
Total Annual Premium
Annual Inflation Guard: 9 %
This policy contains a $1,000 Deductible.
Premium
$2,302.00
28.00
10.00
230.00
Included
Included
5.00
2,575.00
-506.00
-90.00
-171.00
-154.00
-69.00
-990.00
$1,585.00
Process date: 07/09/2007
_ N~!l1ed Insured: Hill, Barton H & N Napier
~... - Pdticy #: 8-HOC-2-1041946 Declaration Type: Extension
Homeowner Declaration
Effective: 08/29/2007
Coverage Form - 3
Property Location: 2231 Pine Street, Bakersfield, CA 93301
This policy does not provide Earthquake Coverage.
Policy Coverage Forms:
HO-3 (04/84) HO-350 (09/87)
HO-90 (09/84) HO-322 (09/87)
03-347 (05/01) 03-331 (01/02)
HO-290 (04/84) 02-304 (06/06)
HO-300 (03/88)
HO-243 (04/84)
438BFU NS (05/42)
HO-52 (04/84)
HO-216 (04/84)
02-083 (06/06)
HO-325 (12/85)
03-304 (09/99)
03-486 (07/06)
Mortgagee - Form 438BFU NS:
Mortgagee #1
Wells Fargo Home Mortgage Inc Its Successors &lor Assigns, POBox 6502,
Springfield, OH 45501
Loan No: 0030730501
Process date: 07/09/2007
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Umbrella Schedule
Policy No: PUP68365-00
Effective Date: 8/1/2007
Expiration Date: 8/1/2008
Covered Persons: Bart Hili
Personal Umbrella
Personal Property
Following are the locations declared In your application covered under a Personal Uablllty or Homeowners policy.
Personal Residences, Primary Insurance Company.
Rentals or Vacant Land Limits of Liability (In thousands)
2231 Pine St Bakersfield CA- Personal Residence Eagle West $300
217 Moore St Beaufort NC- Personal Residence North Carolina Farm Bureau$1000
Personal Drivers
Following are the drivers declared In your application and are the only drivers who live In your household and/or regularly drive your
vehicles.
Drivers Date of Birth Drivers License #
Barton Hili 02/08/1950 CA - R0535168
Elizabeth Hili 07/07/1983 CA - 01706327
Nancy Hili 11/15/1951 CA - C2208032
Paige Hili 06/14/1985 CA - 03423556
Personal Automobiles
Following are personal vehicles listed in this policy and covered under a personal auto policy.
Personal Automobiles Primary Insurance Company'"
Limit of Liability (in thousands)
1967 Mercedes 8enz Eagle West $250/500/100
1972 Ford Bronco Eagle West $250/500/100
2000 Ford Explorer XL T Eagle West $250/500/100
2004 Mercedes Benz Eagle West $250/500/100
Personal Unlnsured/Underlnsured Motorist
Following are policies covering uninsured motorist listed in this policy and covered under a personal auto policy.
Primary Insurance Company. Limit of Liability (in thousands)
Eagle West $250/500
Unlicensed Vehicles, JetSkis a. Watercraft
Following are unlicensed vehicles, jet skis and watercraft listed in this policy and covered under a liability policy.
Description Primary Insurance Company a.
Limit of Liability (in thousands)
1993 Beneteau Auxilary Sail - 38ft/10mph - Trafalgar $1000
Watercraft
2005 Jones Brothers Cape Fish - 20ft/45mph - Markel Insurance$300
Watercraft Company
Losses arising out of a property, auto, unlicensed vehicle or watercraft that is acquired or leased during the policy period are
covered by this policy if they are covered by your primary insurance listed above or another replacement insurance company
A.M. Best rated B+ or higher.
PUS 100 (8/02) Umbrella Schedule
Order ID: N69689 INVID: 156944 Issue Date: 8/2/2007
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Jl~vigators I"SlIn,"", Comp',,'"
NlwYork, NlwYork 10038
Personal Umbrella Declaration
Insured Copy
Named Insured:
Bart Hili
Po Box 1907
Bakersfield CA 93303
KIA Insurance Associates, Inc.
po Box.11390
5407 Stockdale Hwy
Bakersfield CA 93389
Contact: Maurlna Esqueda
Phone: 661-835-4542
Policy No: PUP68365-00
Polley Period: 8/1/2007 To 8/1/2008
(12:01 AM standard time at the address of the Insured.)
Coverage A: Personal. Business Owner's Liability
Limits of Liability for Each Loss: $5,000,000
Policy Total Limit: $5,000,000
Coverage B: Uninsured. Underlnsured Motorist Coverage
Limits of Liability for Each Loss: $1,000,000
-- Policy Total Limit: $1,000,000
Self Insured Retention: None (0)
Charges:
Policy Premium: $2,411
Policy Fee: $45
Total Policy Premium: $2,456
This is an Agency Billed Policy.
Administered By:
""-rs... Umbrelll.cOM
..- 'f.I~5uram:e Services, Inc.
Californiil License 1'10. OD08438
1',0. Box 88586. Emeryville, CA 94662-0586
Attached to and forming a part of Form: PUP 100 (8/02)
Form Number of Endorsements Attached ~o this Policy PUS 100 (8/02)
. at Time of Issue:
PUD 100 (8/02) Umbrella Declaration
OrderID:N69689 INVID: 156944
Print Date:8/2/2007 California
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