HomeMy WebLinkAbout01381
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APPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.EN-01381
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,
1. Full name of applicant and complete address including phone number:
WILSON TODD & JILL
2630 21ST STREET
CA
BAKERSFIELD
93301
Phone No. (805)637-0523
2. Nature or decription of the encroachment for which this application is made:
BLOCK WALL 5'
3. Location of proposed encroachment is
2630 21ST ST
SIDE YARD
4. Period of time for which the encroachment is to be maintained:
Applicant agrees that if this application is granted, applicant will idemnify, 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, 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 mantain 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 insuance evidencing sufficient coverage for bodily injury or property damage liability of both and required
endorsements evidencing the insurance required.
The type(s) and amount(s) of insurance coverage is:
CALIFORNIA FAIR PLHOMEOWNER
100,000
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time.
Date:08/05/1998
Signature of Applicant (Owner/Agent)
PERMIT
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 PUBLIC 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
Date:08/05/1998
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APPLICATION FOR ENCROACHMENT PERMIT
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 penn it
to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined.
I. Full name of applicant and com..l'lete address including phone number: fO d d ...}./)I ') I fJ} r \ Js Oh-
,Q &30 c2/tsl- t)f- ' (p 37-- 0 5-~3
2, Nature or description of the encroachment for which this application is made: f3 I DcR .GJ uJa-QP
3. Location ofthe..l?rgposed encroachme9ti(~
::J. If -S U J J s l- <.J L.-- -:.
4. Period of time for which the encroachment is to be maintained: .~ 00 uJa-f2-f
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hannless 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, quasi-judical,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 encroachment or until such time that this penn it is revoked.
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Applicant further agrees that upon the expiration of the pennit for which this application is made, if granted, or
upon the revocation thereof by the Citv en\:ineer. applicant will at his own cost and expense remove the same
from the public Droperty 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 Insurance evidencing sufficent 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:
JJ-OO,OOO rJ.LJ(J~ / 10,000 o~ sfYu~..fvr-e.o I (OO,Ooo,P-e.rsono.1
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the penn it at any time.
f'rV? I
Date:
frs-9f-
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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
PUBLIC 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
Date:
Signature of City Engineer
No.
, C~L~FORNIA FAIR PLAN ASSOCIATION
.,~.; 3435 Wilshire Blvd" Suite 1200
Los Angeles, CA 90010
t;4IR Mail: P.O. Box76924,LosAngeles,CA 90076.0924
Pr.., TEL (213)487-0111
DWELLING FIRE DECLARATIONS
POLICY PERIOD
I POLICY NUMBER
!CFP 1526078 00
I
I
FROM
01/11/98
TO
ol/il!99
, 201 AM. Standard Time alll1e property locatIOn
TRANSACTION
NEW BUSINESS POLICY
NAMED INSURED AND ADDRESS
PRODUCER
TODD A, WILSON
& JILLA. WILSO, HW/CP
263021 ST STREET
BAKERSFIELD, CA 93301
0706446
WILMERT, MICHAL
314 CHESTER AVENUE
BAKERSFIELD CA 93301
PROPERTY LOCATION
2630 21ST STREET
BAKERSFIELD" CA 93301
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NUM FAMILIES I DEDUCTIBlE
! $1,000
,
; IN CAS OF lOSS W OV R ONLY THAT P OF lOSS OVE E F lLOWING UC BlE: $1.000 FOR ALL:
. PERILS EXCEPT EARTHQUAKE\-IF THIS IS AN INSURED PERIL. FOR EARTHQUAKE THE DEDUCTIBLE IS 15% OF THE i
: LIMIT OF LIABILITY THAT APPLieS TO THE DESTROYED OR DAMAGED PROPERTY, (
INSUAANCE IS PROVIDED AGAINST ONLY THOSE PERILS INDICATED BY A ~EMIUM CHARGE AND ONLY THOSE COVERAGES SHOWN WlTH A LIMIT OF LIABILITY
i COVERAGES LIMIT OF LIABILITY . I' PERILS INSURED AGAINST PREMIUMS
: A.DWELLING $ 200.000
S.OTHER STRUCTURES 40 , 000 i FIRE AND LIGHTNING ,$
C.PERSONAL PROPERTY 100,000 i EXTENDED COVERAGE
D-FAJR RENTAL VALUE' O' VANOAUSM
! EARTHQUAKE COVERAGE NOT INCLUDED EARTHQUAKE
TOTAL BASE PREMIUM
DESCRIPTION
CONSTRUCTION TYPE I
. MASONRY ,
OCCUPANCY
01
THIS POLICY DOES NOT INCLUDE ,
TOTAL POLICY PREMIUM (TENTATIVE)
.
453.00
90.00
22.00
0.00
565.00,
i
0.00 t
0.00 I
I "
I
565.00'
BRUSH SURCHARGE
: C.I,G,A. - {~Wg'nilllnaurllnQ' Guarllnlee Anoel
FORMS AND ENDORSEMENTS APl'UCA8LE TO THIS POLICY:
I DP0001 (07/88) ,CFP372 (08/84)
DATE ISSUED: 01/27/98
NOTICE TO THE INSURED
CHECK TO ,SEE THAT THE AMOUNT
AND TYPE OF COVERAGE PRO-
VIDED BY THIS POLICY IS
APPROPRIATE, THAT DETERMINATION
IS SOLELY YOUR RESPONSIBILITY.
BY;~~
AUTHORIZED REPRESENTATIVE
LOSS PAYEES: Subject tg the provisions 01 the loe. psysbl. cllWI.. llItached hereto, lon, W II"." on dweHing (and lither Illrilclu'ea, ~ applicable) shall be payable to,
MARl C. HOOPER
(SEE SCHEDULE ATTACHED)
314 CHESTER AVENUE
BAKERSFIELD. CA 93301
CFP-OOSA (1195)
ThIs document wtth fonns and endorsements sta.d above, Is your policy.
INSUREDS COpy
CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
./
TO WHOM IT MAY CONCERN: '
We, the undersigned. have no objection to the construction of a fence or behind
the sidewalk on:
of
Spruu- (~6re..e.-k
( Street)
;) le3D d I s f
(Address)
Joold ~( ))')) {jJ ,', SOn
(Owner's Name)
Phone: (0 37- 06 cZ l ~
SIGNED:
:2) ~ame
Address .sf
3) Name. ~or'
Address fl7 00 J Sf- 3+
1, Clarne qS~acl,t;; lad-Date
.-\d~r~ss/D d_" "fk- _~ bu
III --Irz1- OS? / fa--R..
5) ?\iame
.-\ddress
'.. _Date:_,~
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Scott Manzer, Risk Manager
FROM: tMarian P. Shaw, Civil Engineer IV, Subdivisions
DATE: September 22, 1998
SUBJECT:
Encroachment Permit Application for 2630 21s1 Street
Installation offive Foot Tall Block Wall along Side Yard
Todd & Jill Wilson
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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, S:\PERMITS\ENCROACH\INSURANC\2630 2 1 st. wpd
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THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
PRODUCER PHgNio Ext: ( 8 0 5) 8 64 -15 0 4 COMPANY
WILMERT INSURANCE SERVICES INC TOPA INSURANCE COMPANY
314 CHESTER AVE
BAKERSFIELD, CA 93301
DOl LIC # OC04840
SUB CODE:
LOAN NUMBER
. POUCY NUMBER
SEE BELOW ADO'L1NTERES TPL 012 866
EFFECTIVE DATE EXPIRATION DATE
CA 93301
01/14/98 01/14/99
THIS REPLACES PRIOR EVIDENCE DATED: 01/14/98
CONTINUED UNTIL
TERMINATED IF CHECKED
ill.9.~.:~N__tt9fjtttt:::::::::::f::::::ff::::::ff::::::ff:::::t:::f::ftitttt::::~:::t::::::::::t::::::t::::::t::::::::t:::::f:::::::tt::tttttt::t:ttt::t:t:t:::::::t::::::::t:::::::t:::t::::::::::::::::::::::tmi~f::::::::t::::::::ftt::::::::::::::f:m:::::::t::::t::::t:::t::::::::t::i:::::::f:tt:i:I::::::I::::
lOCATION/DESCRIPTION 0 1
2630 21ST ST
BAKERSFIELD, CA 93301
::gP!mA~i1~!Nf9.flMAlfMi:::t::t:::::\:::::::\:\:\::::::::::::t:::::\t:::::::::\:\\\\::::\::::::~::~~:t:\:\:\:\:\:::::\::::::::::::::::~:~\:\:::\::::::::::::::::::::::::::::::::~::::\:::::\:\~:~t::::::::::::::::::::::::::::::::::::::::::::::::II:::::t:::\::::::::::::::::::::::::::::::::~::\:\::::::::t::::::::::::::::::::::t:::::::::::::::::::::\:\:::::::::\:::::\:\:\:\:::::::::\:\:::I::\:I::\:::::\:\r:\:::!:::\:::::::!:!:!:::::::::::::!:!:!:::\:::::::::::::\r:::
COVERAGE/PERILS/FORMS ~OlJiii't:1,lN$.UiWiieE' DEDUCTIBLE
/It,d%~tfO(J(j'O'"'
1000
LIABILITY
MEDICAL
:11~1@I~f.JNUwiil@:i9.9ii_}I:tm:m:::::m:m:::::::m:::::m:m:::::::::::::m:m:m:m:::m:m:::::m::\::m:::::m:::::::::::m:::::::::m:m:m:::m:::m:m:m:m:m:m:m:t::::t::t::m:m:m:t::t:::\::::::::::::::::t:::\::m:::m:m:t::::::::::m:::::t::ttt::ii:@i:::i:::::::\::t::::::t::m:m:::m:::m:tm::i::::::::m:m:t::::m:m:tttm:::::
@ANggg::~:::~~~:::::::::::::::~:~:~:::::::~:::::::::::::::::::::::::::::::::::::::::::::::::::~~::::::::::::~:::::::::::::::::::::::::::::::::::::t::t~~~:::::~:::~:::::::::::::t::::::::::::::::::::::::::~~::~~::::::~:~:::::~:::::~:~:~::::::::::::::~::~:~~::::::::::::::::~:~:::~::~::::tt~:::t:::::::::::::::::::::::::::::::::::::::::::::::::~::::::::::::::::::::::::::::::::::::::::::::::::~:::::ii::::::i::::::::::::::::~::::::::::::::t::::::::::::::::::::::::::::::~:::::t::::~:::::::::::::::::::::::::::r
THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 10 DAYS DAYS
WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.
:.mPflMHltmmr.t::::::m::tit::::::::ttmit::t:\::::::::::::::::::::t::::::::::::::::::::t::::m:ttt:::::::::t:::::::tmI:tt::::::tt::::m:::tt::::t::::::m:::::m::i::::::::::::t::t:::::I::t::::::~~:::t::~:::m::::::tI::t:tmIII:::::::tt:I::I::i::::::::::tm:t::::tt::mi::~I:::~I::II::::I:tt:I:::m:m:tt::::m:m:::::::::::m:tm
NAME AND ADDRESS MORTGAGEE
lOSS PAYEE
lOAN /I
/
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B A K E R 5 F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
/A S A.. v" fjfYl
~1
FROM: ~ Q 1 Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
September 25, 1998
SUBJECT:
Encroachment Permit Application for 2630 2pl Street
Installation offive Foot Tall Block Wall along Side Yard
Todd & Jill Wilson
Engineering and Traffic staffhave reviewed the attached encroachment permit to allow the installation of
a five foot tall block wall behind the sidewalk on the sideyard. The site is located at the northeast corner
of 21 st Street and Spruce Street in a residential neighborhood.
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\2630 21st wpd
xc: Applicant
Reading File
Construction Inspection
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B A K E R 5 F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Acting Civil Engineer III
FROM: tCf7 Marian P. Shaw, Civil Engineer VI, Subdivisions
DATE: September 22, 1998
Encroachment Permit Application for 2630 21s1 Street
Installation of five Foot Tall Block Wall along Side Yard
Todd & Jill Wilson
t
SUBJECT:
Please review the attached encroachment permit and return to me at your earliest convenience.
tJ. t.
PtnIC-C?
S:\PERMITS\ENCROACH\TRAFFIC\2630 21st.wpd
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