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HomeMy WebLinkAbout7300 PAGOSA CT ENCROACHMENT PERMIT 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: 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 06-30000039 Date 7300 PAGOSA CT PW - ENCROACHMENT PERMIT 3/02/07 Owner Contractor MONGOLD DAVID T & TIMI A 7300 PAGOSA CT BAKERSFIELD CA 93309 OWNER Permit . . . . . Additional desc . Phone Access Code Permit Fee Issue Date ENCROACHMENT PERMIT 627364 150.00 12/29/06 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments Relocate 6 ft wood fence to sidewalk along Loveland Way for side yard. ---------------------------------------------------------------------------- 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 pe~t ayny j/~ / f'r'\ JA://, ~ ~v~ Signature of Applica (Owner! Agent) -r MO'^J ~ tJ oc- Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY E RE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) STIT A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICA nON IS THEREFO RANTE (DENIED). Said permit shall expire on date stated above. Signature of City Engineer ~dditional 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 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 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. I have read and acknowledge the above. _Applicant's Initials ~ ~ . ~ BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 28,2007 SUBJECT: Encroachment Permit Application for: 7300 Pagosa Ct. Name of Applicant: David Mongold & Timi A. Description of Encroachment: Build 6' fence out to sidewalk along side yard. Site line on side yard must be observed. Engineering and Traffic staff has reviewed the attached encroachment permit to allow theJ applicant to build a side yard fence 6' high. 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 objectl6n to the proposed construction. Based on their review, staff recommends approval of the permit. S:\PERMITS\ENCROACH\7300 Pagosa Ctdoc iOro-3Cf of"~. ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 8, 2007 SUBJECT: Encroachment Permit Application for: 7300 Pagosa Ct.. Name of Applicant: Mongold David T & Timi A Description of Encroachment: Build 6' fence out to sidewalk along side yard. Please review the attached encroachment permit and return to me at your earliest convenience. 7-/1~/7 5F rE -re-Ifl ~ 1 fe'AJU f./{IGtH1 taJctoltC-H IAlf"'O '576tf:/ uMf f71-1/fflJ6,tR. ~ S:\PERMITS\ENCROACH\TRAFFIC\7300 pagosa CLdoc , 0 ~ . - OB A K E R S FIE L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: RALPH KORN, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 2, 2007 SUBJECT: Encroachment Permit Application for: 7300 Pagosa Ct. Name of Applicant: Mongold David T & Timi A Description of Encroachment: Install 6' fence out to 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\INSURANC\7300 Pagosa CLdoc ~ ...,: ....~ ~~{j ~w;:j ....,-f.l~..wi!j r!/ :t/la-D ;::.s.~ &j .....~ $ ,/0> ( I d' M o .(;) . ') v R ~ J (' 'it .. ~'1" W v..<lk-.-\ '1.0:' -4 \ \., pay 397 - B).5 '!. ~ .' 'Gv-:J APPLICATION FOR ENCROACHMENT PERMIT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNL.\: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and main;ain an encroachment on public property or right-ofwway as therein defined.. I '. .' '.. . -'. t - . 1. Full name of aoolicant and comolete a~ddress includim!phone n~b~r: ~vJ of (\I\o~D ~ 7300 p~~)dA. C-1:, &:"(t.q[S.<=",e-Yl ,CJ4. 9~lo9 2. Nat~e or description of the encroachment for which this application is made: ~c;.\!.. Y6...~ 0 : ,S~~ ~~ . . -. . .. .-.. .. , ,.W . .._ 'II 3. Location of the proposed encroachment: . k"Ve.. ~ ~'f . ," - - - ,( .# 4. Period of time for ylhich the encroachment is to be maintained: -11Jd~ f,i1 f'l-e " -. Applicant agrees that if this application is granted, 8p'plicant shall indemnify, defend and hold harmless City, its offi~ers, agents and employees against a~~ and .a1lliabll!ty, c~~ms, a~ti~~, calfScs of action 0: demands, whats~eyer agamst them, or any pfthem, before admimstratlve, quasi-Judicial, or Judicial tnbunals of any kind whatsoever, ansmg 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 l.ife of.said encr~ac~ent or ':Ultil suc~ time that this pe~t is~ev?ked. .: '. ...,. . Applicant' ~rther agrees that upon. th~ expiratio!l of the. pe~t for which this application is made, if granted, or'YQQ!l the revocatIon thereofbvthe Cltv engineer. aDohcant wlIl at his own cost and expense remove the same from the Dub,lic proDertv 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. . o. . Applicant further agrees to obtain anfi keep a1lliabilio/ insurance required by the City Engineer in full force and effect . for however' long the encroachment remains. Apphcant shall furnish the City Risk Manager with a Certificate of Insurance evideI:1cing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The type(s) and amount(s) ofinsurancc'coverage is: ., \" \ . R' ..L' f ) ~ . '{ . er.5.Dt~l. (~.'tlL'11 - ~eD) o~ . f-,^r,;" C.\h Se('(f\C.f:._Ei~~\/(oOtrc>t?S Ls-. . -. .;;~'.::o~": Applicant ackno.wledges ~hc right of the City Engineer, pursuan~ to~BaIsersfield MunicipatCgde j:hj.pJc~2,20 to revoke the perIIllt at any time. . , , ~ Date:-' ~ -:~ 'T .- ~" . /. 19nature 0 API' PER."IIT I HEREBY CERTIFY THAT I HAVE MADEA..~ :INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AL~D FIND m-\T THE MAINTENA.~CE OF SAID ENCROACHMENT (1) WILL (NOT) StJBSTA.L~TIALLY :INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO BE LOCATED A..~ (2) WILL (N011 CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID -UPLICATION IS THEREFORE (GRA.'iTED) (DENIED). S~ PERMIT SHALL EXPIRE Date: - Signature of City Engineer No, -~.... - CITY O~ BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM rrMAY CONCERN: We the undersigned . have no objection to the construction of a fence beside the sidewalk within the public right of way. La",,- W w....; (Street for uposed encroachment) of 7'"3>.9.D Po..~~ c+ . (Address of purposed encroachment) SIGNED: ... 1) Name: :;f:::: i> f't 4."", """'~ ~ Address: 316 u : l) v ~ Ltw" J. .o-J.!J 1 ~ 2j Name: "1)a/~S(L L,J I'''' c.he.s+e.i2- Address: 3l)D B Lou;z..l~\ W~ .~ 3) Name: It! a.tl..-~j !l.a~/;X/lh Address: .J~C-{I.. )or){./c;"<,,cl L~, () ~")Name: 6'-tf,/JV G;e:tprtTJJ Address: 30.00 lCl\/tr-I...AMA ~,-{ ~ 5) Name: S'O""~t'l.-rc.- \<:"''f lfV\c...."'~~ Address: '7 '!> 0 \ p~ oJo- CD w-T- ~6)Name: ~..I.1 (hw)~r. . Address: ~ _~L1:U/()'l.JJt\ ~ J I ~ ~ j it - 11 11 Bv: ~\. Mc",~J (Owners Name Phone: (~iill~ -qlt~ 7' . . Date: I Z - 2. 'j.. -Cc. Date: iJ... -;). ?J -O~" Date: )2.- lJ.~: e::~ Date: FZ. 2,$ . 0 b Date: I~ - ~ S -ct.., Date: 12:-2-1I~ . \~1 1 #- b~i.-f -! H U ~: ; <:Z:. !! f~ ~ \Cl.,^cl W;>.1 rI 16i I~~ 4i~ rr F ~ itj Dec 28 06 10:40a Cross Town Insurance 6618726876 p. 1 ;_. r.. :::::::::::~_::::.:: :. ,'::'ii ~.'cr~l~['~' ...~----- ______~_n-._. _.~._-.----..._. --~ _... .. ':,':_";_:",L ::>;; Agent Copy Amended - Homeowners Policy Coverage is provided by Civil Service Employees Insurance Company Effective 12/27/2006, supersedes any previous declaration bearing the same number for this policy term. Reason for amendment: INCREASED LIABILITY '" n L ~-J ,:~ Insurance Group ',-.' -;r.!:.;-;.;.,.......-:I;:.._:,-.:"=.: Policy # Policy Term (begins and ends at 12:01 3.m. Standard Time) CA:::! 8029061 From 6/19/2006 To 6/19/2007 Agent Phone 661-872 - 6 848 Agent # 43961- 43 96: 001 Named Insured and Address Notice Date 12/28/2006 CROSS TO~m INSU~ANC3 SERVICES 2421 Hl'.LEY #1 BAKERSFIELD CA 93305 MONGOLD, DAVID T AND TIMI A MONGOLD 7300 PAGOSA CT BAKERSFIELD CA 93309 The p~emises covered by this policy is located at 7300 ?AGOSA CT a~KE~SFIELD CA 93309-541C Coverage at the above described ioeation is provided only where a Umit of liability is shown or a premium is statec. Section I Loss Deductible $ 1 , 0 C 0 Section I Coverage A. Dwelling B. Other Structures C. Personal P'operty D. Loss of Use Section II Coverage . E.Personal Liability F. Medical Paymentto Others Limit of Liability $347,750 $34,775 $2<l3,~25 $69,550 Premium $2,118.00 I:J.:::1-..;.dea. I:J:::h;deo. Included - $300,~DOo $25.00 $1,000 Included Total Basic Premium $2.143.00 Thc limit of liability tonhis structure (Covcrage A) is based 011 an estimate of the cost to rebuild your home, including all approximate eost !ur labor and materials in your area. and specific information ihal you have provided about your home. Additional Premiums - See Additional Coverages . Identity Recovery Coverage Workers Compens'\tion and Employers Liability - OCC EMPL Discounts and Other Credits Optional Deductible HOI'v1EGARD Coverage - See Policy for Limitations Premises Alarm or Fre Protection System Credit Multiple Policy Credit ! $25.00 Inch;ded Total Additional Premiums/Credits Seismic Safety Commission Assessment (SSe) Total Annual Premium $500.QO CR $257.00 $::'06.00 $:'3:'...QO $969.00 $Q.15 $1,174.15 CR CR CR CR Effective 12/27/2006 your policy was changed for: iNCREASED LIABILITY Prior to this change your term premium was $1,152.14 Your new term premium itemized above is $1,174.15 Forthe pe,iod of 12/27/2006 to 6/: 9/2007 this change caused a premium increaseidecrease of $ E . CJ 0 Insured Billed Billing Activity as of 12/28/2006 $ 0 . 00 Balance from Prior Term $1,163.14 Total Policy Premium $24.00 Installment Fee to Date $f-95.0:) Amount Received $292 .14 Current Balance/To Pay in Full $292.14 Minimum Due By 2/24/2007 Continued on next page Installment Schedule 2/24/2007 $292.14 Due Each installment includes a $6.00 service charge ; rtiJ t;i.. ,Ir l:~rJ:~~1 ... , ~.It .1-111i-' if II n_f'1m+ --if1i~j':r+ IIIIT If + rl iYi l ~-I -, 't! '~-i3--4JJ~-!+- !--[-: I/--!i I il ~! I ~".. ' !' .~l.tr.. -..-~-i -:.- ! - - - i I : i' -!,I I -, ,-.-1 I If: I ir: : i ! 1 Ii' t' I j ',I i9- !-h r Ie i : .1,': I _,___ ___ ,__ i _ _ -----i-- 1l1:>--~'.---;{;.-+- i - ! 1- i I::J"'" I i I I -r---i -'- --r--r- - 1 Ii: ~ ! 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Prepared by the City of Bakersfield, CA GIS division of Information Technology. The City of Bakersfield makes no i warranty, representation, or guarantee regarding the ! accuracy of this map. This map is intended for display purposes only and does not replace official recorded documents. Page 1 of 1 LegE 0 Selected f Library Sc hool Ai rport Fire Statio ff Railroad T ,-./ Highways /'/ Arterial St ,-./ Collector: /'.'.// local Stre . Water Bod 11 Recreatiol Addressel D Building F 0 lot Bound 0 City Limit! http://geoweb.ci.bakersfield.ca. us/serv letlcom.esri.esrimap.Esrimap ?ServiceN ame=ovmap&... 2/9/2007 --- '--------, )... ~ ~ ~ Cd .s o -..J P AGOSA CT -- - 30' _ ~ 30' 30' 30' NORlH I I I I I 12/27/2006 17:11 6513235651 JEREMY C JANS INC PAGE 02/02 '''.;. ~ i.. . -:::::;/ .. .--.. ~ ! I I fa WAY ~ .~ ~ ~ 60 'I ~ lS'o , 6- 1~ ~ .,. rO*' \j ~ r&C <35 ~ ~ $(y tb ......, (24) ........ BU.tC"'Q ~O~ @ ~)- Note: This only. It " 'ego' OW"... pur poses of ASSESS ';. .. -" L STREET PERMIT ISSUED BY THE DIRECTOR OF PUBLIC WORKS CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326-3049 Inspections Application Number . . . . . Property Address ..... Application type description 06-30000039 Date 12/29/06 7300 PAGOSA CT PW - 3NCROACHMENT PERMIT Owner Contractor MONGOLD DAVID T & TIMI A 7300 PAGOSA CT BAKERSFIELD CA 93309 OWNER Permit . . . . . Additional desc . Phone Access Code Permit Fee Issue Date ENCROACHMENT P3RMIT 627364 150.00 12/29/06 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments Relocate 6 ft wood fence to siaewalk along Loveland Way for side yard. Fee summary Charged Paid ,Credi te:i Due -~ ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .OC Grana Total 150.00 150.00 .CO .00 24 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS AND TESTING Applicant is hereby granted permission, subject to the provisions of all City Ordinances applicable thereto, and will ass~me responsibilities for all damages to streets or other property that may result from the work performed, OPEN CUITING OF STREETS WILL NOT BE PERMIITED WITHOUT INSPECTOR'S APPROVAL THIS PERMIT EXPIRES ON DATE SHOWN ABOVE. FAILURE TO COMPLETE WORK AUTHORIZED ON THIS PERMIT BY DATE OF EXPIRA nON MAY RESULT IN ADDITIONAL COSTS TO YOU IF THE CITY MUST COMPLETE THE WORK. TIME EXTENSION REQUESTS MUST BE APPROVED BY THE CITY ENGINEER PRIOR TO THE EXPIRATION DATE. ' Permit Base Fee covers up to two inspecyors. Additional inspections over two will be deducted fr~ t.heko~ _ Initials \J(>..,..[\-tA ~ Mo~~~ ~ . Applicants Signature' Print Name By: , , Deputy Approved By: RAUL ROJAS, c~~ Additional Tenus on the Back "'-----. T- "';I :-- All necessary grading, backfilling, resurfacing and cleanup is to be done by the applicant. Traffic control must conform to State of California and Cal Trans standards. If the trench or excavation is five feet or deeper, applicant shall, at applicant's sole cost, comply with all of the requirements of Municipal, State, Federal authorities now in force, or which may hereafter be in force, including all provisions and regulations of the Labor Code of the. State of California. Applicant sli'all be responsible for obtaining the required permits from Municipal, State and Federal Authorities, PRIOR to proceeding with any of the work. In consideration of granting this permit, 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, applicant's employees, agents, independent contractors, companies, or subcontractors in the performance of, or in any way arising from, the terms and provisions of this permit whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful misconduct. I have read and acknowledge the above. _ Applicant's Initials Inspector's Report: ./ / ~. < Date Finaled: ~o. of Insp. Inspector: