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HomeMy WebLinkAbout05-30000078 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 05-30000078 Date 3201 MEADOW VISTA ST PW - ENCROACHMENT PERMIT 5/06/05 Owner Contractor GOTTWALD THOMAS ROY & REGINA K 3201 MEADOW VISTA ST BAKERSFIELD CA 93306 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee Issue Date . . . ENCROACHMENT PERMIT 349928 150.00 3/30/05 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments 170lf. of 4' fence on the corner of charger ave and meadow vista 871-1554 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~~-yime. d /I~- 7~/~ 71t~,A. ~#~ 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. ~ Signature of Cit{-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 liability, claims, actions, causes of action or demands whatsoever against them, or any of them, before adininistrative 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. acknowledge the above. cant's Initials .~ -" ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 28, 2005 SUBJECT: Encroachment Permit Application for 3201 Meadow Vista St Name of Applicant Thomas & Regina Gottwald Description of encroachment. 170' of fence on the corner of Meadow Vista & Charger Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of description of encroachment. The site is located at address of encroachment. 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\3201 Meadow Vista,doc ()5-78 ~ . - Bj\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 5, 2005 SUBJECT: Encroachment Permit Application for 3201 Meadow Vista S1. Name of Applicant Thomas & Regina Gottwald Description of encroachment 170' of 4' fence on the corner of Charger & Meadow Vista Please review the attached encroachment permit and return to me at your earliest convenience. ~ 1I0~/()F 'pJlfept;; 15 Fe,Jt::,fE aJ ..,.~ St- ft-rt:fi ? 1i!EY;I~l1N4 ~Nf/C;Ufl<l'lT/OV '" CwrF-OL-S @, I~J~(.11()# f'~~{.,f};- el,/t-4/~/HIt'-I rO'71~"'6" s/~H'r UN13 ~/5S'ue), ,t.O( ~- tJIl t? ,. S:\PERMITS\ENCROACH\TRAFFIC\1 traffic memo,doc ~ . ~ BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 31, 2005 SUBJECT: Encroachment Permit Application for 3201 Meadow Vista St. Name of Applicant Thomas & Regina Gottwald Description of encroachment. 170' of 4' fence on the corner of Charger & Meadow Vista Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. 11 S:\PERMITS\ENCROACH\INSURANC\3201 Meadow Vista.doc ...-II U-1 ~ 60' I 3' MAXIMUM ENCROACHMENT 15' p I I I I I C- I __ I ____ I ' I~ I....... I~ I I I I I I ~ I I--- - I~ 1(") I II I~ I -- I --l 3201 MEADD\./ VISTA 1 ~ CT, I - - CD 5'-6' FROM BC (g) 9'-0' FROM EC Fence 12'-6' frOM curio fo.ce ct.- CHARGER AVE, -)------ {,' FNr.RnAr.HMFNT D 350' , C\J ..... R/'vI , <=> -oJ) ---- R/"'- FL FL ~ . & o Q M ~ a to -.JI u-1 60' I 3' MAXIMUM ENCROACHMENT ,I I- U ~ I- / CI') ...... >1 j::::l ~ o j::::l ~ w ~I 8J 15' l' 1 I I 1 1 C- 1 ..... I I~ I, I~ 1 1 I 1 1 I ---- ..... ~ --l I ~- I~ ,(") I II Ij::::l 1 B/"vI --' I i - '- 5' ~ ~201 MEADO~~VIST A 12~"+ - \ CT, D 350' ~ CHARGER AVE, FNr.RnAr.HMFNT , C\J - R / "vi , _0 \D -- R/"vI-- FL ; ) FL ,~ 'lI ~ '" nt .' ~ 8~ I-.t:i ~ ~ :: .s r& 't/~.~g k'S':S &t' ....~ $ .~ APPLICATION FOR ENCROACHMENT PER..\1IT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOR.:.'lL.\: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a pennit to place, ere~t, .use and ~tain an encroachment on public property or right-of-way as therein defined. 1. Full name of aoolicant and camolete address including phone n~ber: 7{)/'V) I? tf:tJ 7/1A./A- L/J 1z..0 I .hI~~wl/' C;~A '.r,: ~#; cA. f~:J4.' ~7/ - / ~~.~ 2, Nature or description of the encroachment for which this application is made: o/"'r- 0_ ' ~ '-'t ~ t{L~ . F#cL CVC/-o,SIN(, ,eI{~r ~~' I,#'S'"?'A~ ~ 1~//)~" L:Jp.. -.sIM~iJt:.",. '241 ~~ "'I;?"A~' IP' ~~ . ,.' 3. Location of the proposed encroachment: ;f/ Ie- cd2.Iv~ 4. . Period oftime for which the encroachment is to be maintained: ;,2'~ ~I: , , . , Applicant agrees that if this application is granted, ap,pIicant shall indemnify, defend and hold harmless City, its officers, agents and employees against any and allliablhtr, claims, actions, causes of action or demands, whatsoever against them, ot any pfthcm, before administrative, quasi .Judicial, or judicial tribunals of any kind whatsoever, arisin~ 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 encroachment or l.lntil such time that this permit is revoked. . , ,', , . . . . . . . '. ~ . . Applicant' ~rther agrees that upon, th~ expiratio!l of th~ l'e~t [or which this application is made, if granted, or'Yng!l the revocation thereofbv the Cltv engmeer. apphcant WIll at his own cost and exoense remove the same from the oublic property or right of way where the same is located, and restore said public property or ri2ht of way to the condition as nearly as that in which it was before the placing, erection, maintenance or existence ox said encroachment. ' . , Applicant further agrees to obtain ana 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 Instirance evideIJ.cing sufficient coverage for bodily inju,ry or property damage liability or both and required endorsements evidencing the insurance required. The type(S) and amount(s) of insurance' coverage is: Jl{!sfWA-L LI/t!J/{,.It' y M-' #.AcJl f)~ '/9/vl) ,&A/~Y _./~~Y " ifrh~ck :-:.ll(qP~7 y ~ .JQ1o .. Applicant ackno.wledges ~he right of the City Engineer, pursuantto~BaJsersfi~ld Municipat.Cgde~hwJDy1-2.20 to revokethep<rn11t~t"ytune.. , ~, ~' Date: 'J./~$L25 . . ~~ d. - ~~ ... '-Signature of Appn~ (o;'ner or' epresentatlve PER.~nT ' I HERIBY CERTIFY THAT I HAVE MADEA..'l INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AL'iD FIND TIL-\T mE MAINTENA~CE OF SAID ENCROACHMENT (1) WILL (NOT) stJBSTA.L'lTLUL Y INTERFERE WITH THE USE OF THE Pl:rBLIC PLACE WHERE THE SAME IS TO BE LOCATED AND (2) Wll,L (Non CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRA.'iTED) (DENIED). SAID PERMIT SHALL EXPIRE SI~ cngmeer Date: No. ... -"_'<':'~"~"7'- ;'"".""""~",:"-.-,..-'";,,,...-,, ,'_, ~ .,. ~ . CITY O~ BAKERSFIELD . OEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: We the undersigned I have no objection to the construction of a fence beside the sidewalk within the public right of way, ~VI #/(J78 ;7".)C cIlM5-Gfl ~ , (Street for puposed encroachment) Bv: T'~ ,~~.19-~ (Owners Name) 'of '3 ~.I ~'~lb~ '(/(.Ii?r S7. (Address of purposed encroachment) Phone: ~?I-, /:sW SIGNED: 1) Name: Y/ ,fot' ~I t1J mer Address: ' r; . r - 2fName: " O~'v'l /~ ;:: IE (; (~ .!\ddrcss: -:1' 2"( /11 tftJ./).r-'- J/1.t'r4 ~~\'; / 1 . . . . 3) Name: " '. . Address: ~O.6-. ,') VkfJ. ~ .4) Name: f!}1 f"ll ?bne. N 1-gIAJDJI{ jP'l/ Address: h I btf th. MJ:" fl:p e. . . 5} Name: ~..( \..... - ec..J.. Address: ~ '3.lp 'tl\e~~ LJ \<;\c... 5\, 6) Name: >< ~/- ~ Address: .,~~ ~a~ vtrf!7!J-{ $7 Date: 3 - 2/ ~ as- .- Date: f, (f- tJ r' Oate:~ - 2) -lJ 5 Date: ~... 2..1-D5 . "'2' /' Date: ~-?-\-O~ Date: '? - 2./ - (l S-- I J ~ ~ I I. I 1 ( I I I ';) .. o C\I o Itl o o en N m ,- C\I a. ::2: C\I "3' o o p = - """""" ......... ....... = ~ ~ ~ === ~ ......... ~' ---- = = - .- - ELITE II POLICY DECLARATIONS Non,Assessable Page 1 of 4 These Declarations are a part of the policy named above and identified by policy number below. They supersede any Declarations issued earlier. Your Elite II Policy will provide the insurance described in this policy in return for the premium and compliance with all applicable policy provisions. See policy for details regarding the other coverages and additional coverage options. .~D Policy Number: 72 04 MP 219219 Policyholder: (Named Insured) THOMAS ROY GOTTWALD REGINA KELLY GOTTWALD 3201 MEADOW VISTA ST BAKERSFIELD CA 93306-1835 Issued: NOV 05, 2004 Policy Period From: DEC 31, 2004 to DEC 31, 2005 but only if the required premium for this period has been paid, and only for annual renewal periods if premiums are paid as required. Each period begins and ends at 12:01 A.M. standard time at the Residence Premises. The Following Change(s) Have Been Made To Your Policy: The limit of liability' for Section I Coverage A Dwelling is revised. Limits of Liability for Policy Option Earthquake has been changed. The earthquake percentage deductible shown below is based on the Earthquake and Volcanic Eruption Endorsement's primary coverage limit. Residence Premises Information: THOMAS ROY GOTTWALD REGINA,KELLY GOTTWALD 3201 MEADOW VISTA ST BAKERSFIELD CA 93306-1835 ONE FAMILY FRAME DWELLING YEAR OF CONSTRUCTION 1992 PROTECTION CLASS 3 INSIDE CITY WITHIN 1000 FT FROM HYDRANT WITHIN 5 MILES FROM FIRE DEPT FIRE DISTRICT 0002 PROTECTION TERRITORY 076 SECTION I Property Coverages Limits Of Liability Deductible: $500 ALL PERILS COVERAGE-A-DWELLI NG COVERAGE-B-OTHER STRUCTURES , COVERAGE-G-PERSONAL PROPERTY COVERAGE-D-LOSS OF USE $ $ $ $ 166,900 16,690 116,830 166,900 In case of a loss under Section I, we cover only that part of each loss over the deductible stated. EXCEPTIONS 15% EARTHQUAKE DEDUCTIBLE BASED ON THE EARTHQUAKE AND VOLCANIC ERUPTION COVERAGE ENDORSEMENTS PRIMARY COVERAGE LIMIT. SEE ENDORSEMENT FOR DETAILS I H5300 /' ELITE II POLICY DECLARATIONS \ I ~;, Page 2 of 4 SECTION II Liability Coverages COVERAGE-E-PERSONAL LIABILITY FOR EACH OCCURRENCE: PROPERTY DAMAGE AND BODILY INJURY COVERAGE-F-MEDICAL PAYMENTS TO OTHERS EACH PERSON Limits Of Liability $ 500,000 $ 1,000 PERSONAL PROPERTY -SPECIAL LIMITS OF LIABILITY The special limits shown below for each category is the total limit for each loss for all property in that category. They do not increase the Coverage - C - Personal Property limits of liability. See Policy for details regardi'ng the Special Limits of Liability. These limits are included in the basic Policy premium. Theft Losses Only Category JEWELRY, WATCHES AND FURS CAMERAS ' ' GUNS " TOOLS SILVERWARE Limits of Liability OPTION A BELOW $ 1,000 $ 1,000 $ 1,000 $ 2,500 All Covered Losses Category Limits of Liability MONEY SECURITIES WATERCRAFT TRAILERS MANUSCRIPT COMPUTERS BUSINE'SS PROPERTY $ $ $ $ $ $ $ 200 1,000 1,000 1,000 1,000 3,000 500 OTHER COVERAGES/OPTIONS APPLICABLE See Policy or Endorsements for details regarding the Other Coverages and Options that apply to your policy. Other Coverages Limits of Liability INFLATION PROTECTION BOECKH INDEX 0732.3 ' BIOLOGICAL DETERIORATION/DAMAGE CLEAN UP ACCIDENTAL DEATH BENEFIT EACH CHILD EACH ADULT FIRE DEPARTMENT SERVICE CHARGE CREDIT CARD - FORGERY Options Applicable OPTION-A-JEWELRY, WATCHES AND FURS OPTION-I-EXTENDED REPLACEMENT COST PERSONAL PROPERTY OPTION-J-REPLACEMENT COST PLUS DWELLING OPTION-L-PROTECTIVE DEVICE CREDIT FIRE EXTINGUISHERS DEADBOLT LOCKS ON ALL EXTERIOR ENTRYWAYS ALERTING FIRE/BURGLARY ALARM SYSTEM ORDINANCE OR LAW 10% OF COVERAGE A WORKERS COMPENSATION PART TIME OR OCCASIONAL EMPLOYEE EARTHQUAKE APPLIES $ 5,000 $ 500 . $ 2,000 $ 500 $ 1,000 $ 2,500 APPLIES APPLIES APPLIES APPLIES APPLIES APPLIES