HomeMy WebLinkAbout05-30000082
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ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
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 .
ATN (11 Digitsl:
Application description
05-30000082 Date 4/08/05
966106
6001 BENBASSAT PL MD
PW - ENCROACHMENT PERMIT
Owner
Contractor
MAYBERRY RICHARD K & MIRIAM V
6001 BENBASSET PL
BAKERSFIELD CA 93306
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
354977
150.00
4/08/05
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
approximate 3' retaining wall wiht a 6'
wood fence on top about 6" from south
sidewalk of the property
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 150.00
Grand Total 150.00
150.00
150.00
.00
.00
.00
.00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
pe~me. '--,
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Signature of Applicant (Ownerl A ent
1?~r.k~ ~ ~ ~<XY0
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)
SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2)
WILL (N~T+=C:ON~lTu:rE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THERt:Fq~) (DENIED). Said permit shall expire on date stated above.
S. .f~-
19nature 0 Ity ngmeer
Additional Terms on the Back
ol:~~
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.a
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: May 6, 2005
SUBJECT: Encroachment Permit Application for 6001 Benbassat
Name of Applicant Richard & Mariam Mayberry
Description of encroachment. Approimate 3' retaining wall with a 6' wood
Fence on top
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.
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S:\PERMITS\ENCROACH\_Approval memo.doc
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B,i\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 28, 2005
SUBJECT: Encroachment Permit Application for 6001 Benbassat
Name of Applicant Richard & Mariam Mayberry
Description of encroachment Approimate 3' retaining wall with a 6' wood
Fence on top from the south sidewalk
Please review the attached encroachment permit and return to me at your earliest convenience.
S:\PERMITS\ENCROACH\ TRAFFIC\6001 Benbassatdoc
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 18, 2005
SUBJECT: Encroachment Permit Application for 6001 Benbassat Place
Name of Applicant Richard & Mariam Mayberry
Description of encroachment. Approimate 3' retaining wall with a 6'wood
Fence on top about 6" from south sidewalk
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
f/J
S:\PERMITS\ENCROACH\INSURANCUnsurance memo,doc
APPLICATION FOR E~CROACIDIE~T PER."IIT
TO THE CITY E~GI.'iEIR OF THE em. or BAKERSFIELD, C.UIFOR."L\:
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.
" I
1. Full naII1e of applicant and complete address il\cludin~one nwnber: \ c...;
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2. Nature or description of the encroachment for which this application is made: CA..~ y. \~~
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3. Locatiol1 of the proposed encroachment: So.;~ ~~ oJ:. ~~ ~ \J.;~
~~~~\>.&~.'{~Q\t>_~~ ~,
4. Penod of 11111< for whicn the encroachment IS to be IlUlI1tall1ed: ~" .
Applicant agrees that if this application is granted, a'p'plicant shall indemnify, defend and hold harmless City, its
officers, agents and employees against any and allliablhty, claims, actions, causes of action or demands, whatsoever
a~t them. or any pfthem, before administrative, quasi. Judicial, or judicial tribunals of any kind whatsoever, arising
out of, connected with, or caused by awlicant'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~achrnent or until such time that this permit is revoked.'. '
Applicant further agrees that upon the expiration of the permit [or which this application is made, if granted, or'lU2Q!l
the revocation thereofbvthe CIN emrinecr, apolicant wiIl at his own cost and exoense remove the same from the public
prooertV or right ,of w~y ~here the same is loca~ed, and r7store s~d public prop~rty or right .of way to the condition
as nearly as that 10 which It was before the plaCIng, erectlOn, mamtenance or e~lstence of SaId encroachment. ,
Applicant further agrees to obtain ami 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
Insurance evideI,lcing 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 ackno.wledges ~e right afthe City Engineer, pursuant to Bakersfic:ld Municipal Code Chapter 12.20 to '
revoke the Jlcmut at any ume.
Date: ~\~o~ . (
App lcant
PER"UT
I HERIBY CERTIFY THAT 11IAVE MADE A..~ !.".VESTIGATION OF THE FACTS STATED L'i THE
FORIGO~G APPLICATION A.~D F~D ffi-\ T THE ~TE:;A 'iCE OF SAID ENCROACHMENT (1) WILL
(NOT) Sl;"BSTAlqL\LL Y ~TERFERE "lTH THE USE OF THE Pl"BLIC PLACE WHERE THE S.~'II IS TO
BE LOCATED A'"D (2) \\'n.L (NOn CONSTITUTE A HAZARD TO PERSONS l7SL'"iG SAID PLllLIC PLACE;
S,-\lD A1PLlCATION IS THEREFORE (GR.-l.~TED) (DENIED). SAID PERMIT SHALL EXPIRE
Date:
SIgnature of City EngIneer
No.
04/01/2005 10:03
7077788932
MCKENZIE SMITH INS
PAGE 02
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HOMEOWNER DECLARATION
California Capital Insurance Company
REceIVED
fEB , 6 to05
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AGENT COpy
Servicing Agency
McKenzie Smith Insurance Agy - #42990
765 BayWOod Dr. #231
Petaluma, CA 94954
Name and Address of Insured
Mayberry. Richard K & Miriam V
6001 Benbasset Place
Bakersfield, CA 93308
Polley #: ~OC-1-1031857
DecI.ratlon Type: Edension
Etredlve Dat.: 04104/2005
Policy Period: From 04IOf/2006 To 04lO4l2OO8 12:01 lI.m, 5t8ndard time at tile .ddress Of rhe Named In$ured IS stated ".reln.
This is Declaration" 1 and when attached to the applicable forms, it CC1mpletes the policy.
Transaction DeIIcrlption:
LExtefl$iOn
Policy Summary
Total Premium
Total
$739.00
$739.00
This is not a Bill. The premium will be billed to your mortgage company.
This is a replacement Declaration, counter signature Is not required.
TO R.EPORT A CLAIM, CONTACT THE CLAIM SERVICE CENTER: (100) 91B-91n
ProcllllS dltll: 0211112005
~4/01/2005 10:03
7~??l88~~_
MCKENZIE SMITH INS
PAGE 03
HomeOWl't8f Declaration
EtfKtlve: 0410411005
-',......
Named Insured: Mayberry, Richard K & MIriam V
Policy II: 4-HOC-t-1031111 DeClaration Type: Eldenslon
Coverage Form - 3 '
Propetty Location: 8001 Benbasset Place, Bakersfield, CA 93306
Dncrlptton: ConS'a'Uctlon: F..-me; Vear Built: 2002: Territory: 55; protecticn CI..S: 3
Basic coverage umits and premium
A Dwelling
B Other Structures
C Unscheduted personal Property
o Additional Uvlng &pense
E Pel'5Onal Liabl'ity
F Medical Payments Each Person
Each Accldent
Limit
$311,248
31,125
211,874
e2,2SO
.100.OQQ
1.000
25,000
Premium
$1,021.00
25.00
The limit of liability for this structure (Coverage A) Is based on an estimate for the cost to rebuild
your home. Induellng an epproximlte cost fOf labor and materials in your area. and specific
infonn81ion thllt you have provided about your home.
As a compllny, we will make property evaluations from Infonnation provided by you In
assessing the value of your home, As mentioned in the statement above. It Is an estimate of
the cost to rebuild your home; however, your home may cost more to rebuild,
It remains your sole respOnStbillty to maintain 8 limit of liability for the descrtbed dWeUlng
(coverage A) th.t edequately corresponds to the amount It would cost to reconstruct your
entire dwelling at current prices.
Optional Covera.. & Mandatory F...
Specified Addition" Amount Of InSUl1lnce for Coverage A - Dwelling
Contents Replacement COSt
No Cal-Pak coverage Provkied
Worker's Compensation (MIIndatory)
10.00
102.00
.25.00
5,00
Subtotal for Saslc and OptlolUll Coverages
1,138.00
Premium Credlta and Surcharps
$500 Deductible Credit
Renewal Credit
New Home Credit
Roof Type: Tile
-123.00
-45.00
-162,00
.e9.00
Total Premium Credits and Surcharges
-398.00
Total Annual Premium
$739.00
Annual Inflation Guam: 4 %
This policy contains a SSOO Deducttble.
This polh:y doe, not provide Earthquake Coverage.
Proe... dE.: 0211112005
,
~4/01/2005 10:03
7077788932
MCKENZIE SMITH INS
PAGE 04
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Named Insured; Maybeny, Richard K & Miriam V
Policy #: 4-HOC-1-1031861 Declaration Type: Extension
Homeowner Declaration
Effective: 0410412005
Cove...ge Fonn - 3
Property Location: 6001 Benbasset Place, Bakersfield, CA 93306
Policy Coverage
H~3 (04/84)
HO.90 (09184)
03-331 01102
onns:
HQ.350 (09/87) ,
HO.322 (09187)
438BFU NS 05/42
Ho-52 (04/84)
03-304 (09/99)
02-304 05197
HO-325 (12/85)
03-347 (05101)
Mongagee- Form 438BfU NS:
Mortgagee #1
Countrywide Home Loans Inc Its successors AndlOr Assigns A T1MA, clo MSN-
SV22. POBox 10212, Van Nuys, CA 91410-0212
Loan No: 54603330
Process date: 02/1112005
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PROPOSED RESIDENCE
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2 CAR GARAGE
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48' 0"
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PROPOSED SITE PLAN FOR
MR. & MRS. MAYBERRY
· (2500 SF)
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'.~ CIW OF, BAKERSFIELD
, 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.
'\j \ ~h ,'f'fuJ",\o..1J\(J\... ~ '
(Street for puposed encroachment)
BV: \<~ck~ ~~~~
(Owners Nam
of Cooo \' &\I\~s.s.e.-* "?\.
(Address, of purposed encroachment)
Phone: '67?::J- \~ \
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SIGNED: .
1) Name: ~ (hMTh. .. ..
Address: 3<1 C)~ ell sm' ,EcAjE<.Tf1:.:tI' nil.: '
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I "..--2) Nime:- '1) 12'};;XIl ~r 61~'/~Ltd 0 0 /,~-
Address: @, re/~:l~1
o 3) Name: 0, 1\ O. ~ V ~ .~.
Address: \ 2c:CJ 00 \!!'2) . ('ll()~
Date:
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Date: L-/ ~ 1- 0\
4) Name:
Address:
Date:
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6) Name:
Address:
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Date: q!JJoS-
5) Name:
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