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'\
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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
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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: 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.
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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.
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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
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~ .' '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 :
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3. Location of the proposed encroachment: . k"Ve.. ~ ~'f
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4. Period of time for ylhich the encroachment is to be maintained: -11Jd~ f,i1 f'l-e
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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:
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R' ..L' f ) ~ . '{ .
er.5.Dt~l. (~.'tlL'11 - ~eD) o~ . f-,^r,;" C.\h Se('(f\C.f:._Ei~~\/(oOtrc>t?S Ls-.
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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~,
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~")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
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Bv: ~\. Mc",~J
(Owners Name
Phone: (~iill~ -qlt~
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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~
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Dec 28 06 10:40a
Cross Town Insurance
6618726876
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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
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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
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12/27/2006 17:11 6513235651
JEREMY C JANS INC
PAGE 02/02
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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
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Applicants Signature' Print Name
By: ,
, Deputy
Approved By: RAUL ROJAS, c~~
Additional Tenus on the Back
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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:
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Date Finaled:
~o. of Insp.
Inspector: