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HomeMy WebLinkAbout04-30000055 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 . . Pin number . . . . . . Property Address . . . Application description 04-30000055 Date 9/14/04 251265 11100 ARTIST CT PW - ENCROACHMENT PERMIT Owner Contractor ALLEN CHARLES T & AUDREY M TRU 11100 ARTIST CT BAKERSFIELD CA 93312 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 245720 150.00 9/14/04 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments 3' RETAINING WALL WITH A 6' FENCE IN THE R.O.W. 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 at any time. 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 (I) 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 APPLICA nON IS THEREFORE (GRANTED) (DENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back .. ,0 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 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 :, ; ..., ~ . - PUBLIC WORKS DEPARTMENT MEMORANDUM o Jl)~ ~1 J0cr B A K E R S FI E L TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: September 17,2004 SUBJECT: Encroachment Permit Application for 3' retaining wall with 6' wood fence at back of sidewalk along the side yard. Davis & Lori Wilkerson 11100 Artist Way Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of 3' retaining wall with 6' wood fence at back of sidewalk along the side yard. The site is located at 11100 Artist Way. 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 a~f the permit. S:\PERMITS\ENCROACH\04-0S Permits\IIIOO Artist Way.doc (}1-~ "'i,'~' -- .,., V ..k '\. ,,:/- APPLICATION FOR ENCROACHMENT PER"IIT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOR"L~: 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 encroadunent on public property or right-of-way as therein defined. 1. Full name of applicant and complete address including phone nwnber: <UD~~~~. Lv l tk..Q}2,)o,.U \\ \OD ~~~-\- ~4- ~ ~C1 ~~O~ ~(fl :-;E;[)"') --eG{:l.... 2. Na~e, or ~~~e encroac en! for which this application is"';i,.de: ~ -4 v' u. ~ i \ lftt ~ l't1l ~ ~ ~ c:> ,-K- . 3. Location of the proposed encroachment: \ \ '.Of) ~~ ~ ~ (\..,L_ 4. Period of time for which the encroachment is to be maintained: . Applicant agrees that if this application is granted, a,I?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.Y]Qll the revocation thereofbv the Cltv ene:ineer. applicant will at his own cost and exoense remove the same from the pub,lic 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 ke~ all liability insurance req?ired by t~e Ci~y Engineer in ~ll force.'~nd effect for however. long the encroachment remams. 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: Applicant acknowledges the right of the City Engineer, purs. t to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any ti,=. Date: )-1'-/-& y ( PER.:"IIT I HEREBY CERTIFY THAT I HAVE MADE k'l INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION Al'lD FIND ffi.\.T THE MAINTENA.'iCE OF. SAID ENCROACHMENT (1) WILL (NOT) SUBST A."JTIALL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOn CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRA.'1TED) (DENIED). SAID PERJ.~IT SHALL EXPIRE Slgna~- No. 5 01- ~:;- ~ . Clfy'O~iBAKERSFIELD DEPARTMENT 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 right of way.' l1o~Cz~ . . L-( '\ (. tr. t or pupos . croachment) ofJiJOO ." ~-t~+. .' cJ. . . . (Address of purposed encroachment) Bv:rt:QJ~J~: (D )\~~~.u . ( Owners Name) Phone: l~\~ '6~~ -o~\~ SIGNED: \ < '.. ..--,-. r---. . . 1) Name: \( Jvv...r\' ti-~ ~~Y\ . ~q~QijL.. Address: \\\\L\ .'~s~(\-. ..~ , . .-'Name; ~O:iA;l4_obQR~~b::N. Address: ' .. ~-C.-:-r." . , .. ~( Address: \ \ \.s~ ,4) Name; J:r{~l~~.~L~ Address: f rf /1,d:J.<;i t:'+ , 5) Name: : AJzet-~~y c? ~v. Address:j Ie!. 0/, /l-.I2~.l:5' ~/. . . 6) Name: ~ IWM- Address: .1 OQOI 0iltJ.~ (1)-- ~- ~ Date: I ~ 1) Date: .ry~'Z-D~L . , . 3) Name: Date: 1 ~ ('2 -.U ~ . Date: 7;' ~6<( . f . Date:? ;;z~ ~ Date: .~ Jll/ oL( .~ ( ..(.., I ~ I I Ii - . 07~08/2004 ,. ,,', ~, 01:14 K I A I NSURANCE ~ 5870628 Named Insured: Wilkerson, David Policy #: 12-HOC-1-1181404 Declaration Type: New Term Coverage Fonn - 3 Property. Location: 11100 ArtIst ct, Bakersfield, CA 93312 De8c=rlption: ConstnJcti~n: FrfJme; Year Built 1997: Territory. 64; PrOtection Class: 3 Basic Coverage UmitS and Premium A Dwelling B other Structures C Unscheduled Personal Property o Additional Uving Expense E Personal Liability F Medical payments Each Person Each Accident Optional Coverage. & Mandatory Fees Dwelling Replacement Cost Contents Replacement Cost Cal.Pilk Coverage Ordinance or Law Coverage is inauded In policy limits for Cove...ges A and B Other Endorsements Wor1<.e(s COmpensation (Mandatory) NO.036 0005 Homeowner Declaration Effective: 05127/2004 Urnit $274.000 27,400 191,800 54,800 300,000 1,000 . 25,000 Subtotal for Basic and Optional Coverages Premium Credits and Surcharges $500 Dec.uctible Credit New Home Credit Roof Type: Tile Total Premium Credits Ilnd Surcharges Total Annual Premium Annuallnftation Guard: 4 % This policy contains 8. $500 Deductible. this policy does not pl'Ov~de Earthquake Coverage. Premium $844.00 25.00 10.00 84.00 Included 55.00 184.00 5.00 1.207.00 .101.00 -82.00 -66.00 -249.00 $958.00 Policy Coverage Fonns: EQUOTE (12185) HQ..3 (04184) HQ.325 (12185) H0-90 (09184) O~7 (OSlO 1 ) 03-331 (01102) 02-304 (05J97) 02-277 iOQI99\ Ho-35O (09187) HO-3Z2 (09187) 438BFU NS (05142) H0-81 (04184) HO--300 (03168) HQ-243 (04184) 02-083 (09199) PD-175 (05197) Mortgagee - form 438BFU NS: Mortgagee #1 H0-62 (04184) 03-304 (09199) Ho.290 (04184) Countrywide Home loans, rJo InSUrllnC8 Department, SV-22. POBox 10212, Van Nuys.CA 91410H0212 LOan No: 62254108 Proc_ date: 06121/2004 r...... ~ ~.. ~ . - B -~ r-.: E R S F r E L I) ,- PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: September 14, 2004 SUBJECT: Encroachment Permit Application for 11100 Artist Way. David and Lori Wilkerson 2' retaining wall with 6' wood fence along side yard at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. ~ S:\PERMITS\ENCROACH\INSURANC\11100 Artis! Way.doc u.. ., ---:-.. ~ . - B -~ 1<': E R S F I E L I) ,- PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: September 14,2004 SUBJECT: Encroachment Permit Application for 11100 Artist Way. David and Lori Wilkerson 2' retaining wall with 6' wood fence along side yard at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. r (Ie I~'I y.J{fe~e- ? (1?f MOp ;;,. S:\PERMITS\ENCROACH\TRAFFIC\11100 Artist Way.doc ..- , ~ 07/08/2004.. 01:14 K I A I NSURANCE ~ 587B628 Named Insured: Wilkerson, David Policy t#: 12-HOC~1.1187404 Declaration Type: New Term Homeowner Declaration Effective: 06127/2004 Coverage Form - 3 Property. Location: 11100 Artist ct, Bakersfield, CA 93312 De8cription: Con~n: Frame; Year Built: 1997: Territory. 54; Protection Class: 3 Basic Coverage Umit9 and PremilQ11 A Dwelling B other structures C Unscheduled PelSOnal Properly o AddltJonal Uving Expense E Personal Uability F Medical Payments Each Person Each Aocident Optional Coverages & Mandatory ~ Dwelling Replacement Cost Contents Replacement Cost Cai-Pek Coverage Ordinance or law Coverage is included In policy limits for Coverages A end B other Endorsements Worker's Compensation (Mandatory) NQ.036 lilOO5 . Umit $274,000 27,400 191,800 54,800 300,000 1,000 . 25,000 Premium $844.00 25.00 10.00 84.00 Included 55.00 184.00 5.00 Subtotal for Basic and Optional Coverages Premium Credits and Surcharges $500 Deductible Credit New Home Credit Roof Type: Tile 1,207.00 -101.00 -82.00 -66.00 . Total PremiurnCredtts and Surcharges -249.00 Total Annual Premium $958.00 Annual Inflation Guard: 4 % This policy contllin$ a $500 Deductfble. Tbls policy does not prav,de Earthquake Coverage. poney Coverage Fonns: . EQUOTE (12185) H0-3 (04184) HQ.325 (12185) HO-SO (09184) 03-347 (05101) 03-331 (01102) 02-304 05197 02-277 09199 HQ.350 (09187) HO-322 (09/87) 438BFU NS (05142) H0-61 04184 HO-3OO (03166) 1-10-243 (04/84) 02-Q83 (091'99) PD-175 05197) Mortgagee - fonn 438BFU NS: Mortgagee #1 H0-52 (04/84) 03-304 (09199). HQ.290 (04184) Countrywide Home loans, C/o Insurance Department. SV-22, POBox 10212, Van Nuys. CA 91410-0212 lOan No: 62254108 Pr0ce8S date: 06121/2004 . I I I I " J . I ! ! ... .. 07/08/20\34. 131: 14 NO.la36 liIOO4 KIA INSURANCE ~ 58713628 HOMEOWNERDEClARAnoN Callfomla CapitallnsUnlnce Company "0. ~~, :~,~ , . AGENT COpy Servicing Agency KIA Insurance Associates, Inc. -1S2030 P.O. Sox 11390 Bak.erSfield, CA 93389-1390 Name and Address of InsunMI WlIkemon, David 11100 Artist Ct Bakersfield, CA 93312 Policy II: 82-HOC-1..1187404 Declaration Type: New Term Etfec:tIve Date: 0512712004 Polley PerIod: Frvm 0II27f2004 To otI27l2005 12:01/t.m. BI1Jtlderd tllM etttJ(I adriless ofth& Named I11BuIad lIB lltBted hfleln. This i9 DeClaration 'it. 1 end when attaohed to the applicable forms, It completes the policy. T..nsactian ~on: I New Dechlration I ~ICYS~ ~:II Premium .. $95800 J $958.00 This is not a Bill. Any premium due will be applied to the Account Bill. ! I i ! j I I I ; i I ! i I I I j i \ I ! '\'2.3456.>: . /' 8... ..' fi}' IF 1:> Irfj '- ~ !.~ I r ;p , . . ! ~~' d#L ~ tJ~ ,j.. ~ ~ ~j W .r--- ;:;;;:l G .,.. \('1 ~...., (i:l \..~ Q: ;c c;: . .~~~ !i2 ~~..,; .: I:-~ 0$' .......~:;o ....,,~ .. .:::.~~~.~~~ 14(1 P tk;~ Authorized. Signature: 10 REPORT A CLAIM. CONTACT THE CLAIM seRVICE CENTER: (BOO) 988-9974 Pto_ date: D812112OO4 . I I I I. \ ! 07/08/2004 01:14 K I A INSURANCE -+ 587B628 Named Insured: Wilkerson. David POIl4;Y #: 82-HOC~1-1187404 Dectaration Type: New Term NO.036 ~6 Homeowner Declaration Effective: 05127/2004 h.- fmm HO-61 OTHER ENDORSEMENTS Scheduled Personal Property Endo.......ent !!!!!!. DescriDtion 1 Jewelry One Ladles ring 14kt yello wgold approx. 8.7 grams. 1 elr stone vs3 clarity, J ooIor, Full cut, approx 1.24 ct and 10 baguettes art dklmonds, 811 cia. 5 on each side. chanel set, approx tw 1 carat and 14 dalmonds round , full cut 7see notes - Limit $10,840 Premium $184.28 Process date: 06121/2004 . . . -"., .~ r.... ,~ J ,\-..: ;,.r~;..-~ " '......... .~;",:., i:fIIiK' -,o:._~~><~"':':t!.~'" ,'< ,...;.~..- t: f '63 } :;",/~ , ,"{ .;.l-:;I: ''''-;~:~--... .., 1 t l' I I .'''''' .t .. ! I....... f,' o : L,,~ ';;...'" ~~: -::'.~ (jl ., - ,-,..< " . ~t. \; \ .. ;..:;;! XTLlM "'" '.'" . ~ ,-':~.',', PRE~ARED "J/14!04, 15:20:05 CITY OF BAKERSFIELD PAYMENTS DUE RECEIPT PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 04-30000055 11100 ARTIST CT FEE DESCRIPTION AMOUNT DUE --~------------------------------------------------------------------------ ENCROACHMENT PERMIT TOTAL DUE 150.00 150.00 Please present this receipt to the cashier with full payment. ~ ~ . 1 Ci~ of Bakersfield Cit . . I I III STOKER RECEIPT III <" . k gtpBGkrfsfield I I ~. BRAYSLET Type: OC Drawer: 1 . ~ . ~u CUSTDt1 tiT . , 1"\ Date: 7/14/04 01 Receipt no: G047 ' 'per: BHfjYSLET ,EN RECEIPT Illla .Ji'Jte: 7/14/04 01 Ivpe; DC Drawer' 1 I Aaount i :r~..~lilY . . ecelpt n . . I Dascri~tiono. 6047 B BUILDIIG PERlITS $150.00 BP 2 $4 300~~gntity Anount 1.00 BUILD1i:C PERI1ITS . I 1.00 $15$.00 I Tender detail Tender detail i CltCBEClt 15120 5150.00 Cl{ CHECI{ I 5150.00 Total tendered 5150.00 19taj tendered 15120 $15$.00 Total pay.ent a paYDent $150.00 Trans date: 7/14/04 Tile: 15:2S:~1. Trans date: $l.S~ 7I1tJ/0t1 Tine: ,15:25:'11 1__ , .1. ,,- /" ~\ t .' .....'1 t: