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
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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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PUBLIC WORKS DEPARTMENT
MEMORANDUM
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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.
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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
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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~-
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DEPARTMENT OF PUBLIC WORKS
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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.'
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L-( '\ (. tr. t or pupos . croachment)
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(Address of purposed encroachment)
Bv:rt:QJ~J~: (D )\~~~.u .
( Owners Name)
Phone: l~\~ '6~~ -o~\~
SIGNED:
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1) Name: \( Jvv...r\' ti-~ ~~Y\ . ~q~QijL..
Address: \\\\L\ .'~s~(\-. ..~
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.-'Name; ~O:iA;l4_obQR~~b::N.
Address: ' .. ~-C.-:-r." .
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,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
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Date: 1 ~ ('2 -.U ~ .
Date: 7;' ~6<(
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07~08/2004
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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
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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
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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.
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S:\PERMITS\ENCROACH\TRAFFIC\11100 Artist Way.doc
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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
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07/08/20\34. 131: 14
NO.la36 liIOO4
KIA INSURANCE ~ 58713628
HOMEOWNERDEClARAnoN
Callfomla CapitallnsUnlnce Company
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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.
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Authorized. Signature:
10 REPORT A CLAIM. CONTACT THE CLAIM seRVICE CENTER: (BOO) 988-9974
Pto_ date: D812112OO4
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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.-
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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
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Limit
$10,840
Premium
$184.28
Process date: 06121/2004
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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.
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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
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