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HomeMy WebLinkAbout2212 MYRTLE STENCROACHMENT 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 publicproperty or right of way as therein defined. Application Number. . . . . . 11-30000024 Date 9/30/11 Property Address 2212 MYRTLE ST Application type description PW - ENCROACHMENT PERMIT owner Contractor HAWKESWORTH MICHAEL T OWNER 133 V ST BAXERSFIELD CA 93304 (661) 303-0605 Permit . . . ENCROACHMENT PERMIT Additional dear . . Phone Aeneea Code 1137504 Permit Fee .208.00 Iseue Date _ 9/30/11 Valuation 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ---------------------------------------------------------------------------- Special Notes add Comments 4' high Brick columns and wrought iron fence across front of house - ccurb 5'6" from back of - 661-303-0605 ..._ . --------------------------------------- FeeCharged ---------- Paid. ---------- Credited -------------------- Due ----------------- Permit Fee Total 208.00 20B.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant ackn wledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the pemut at any [in . �kR 11,kicoaE& T. Signature of Applicant ( wner/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) SUBSTANTIALLY 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) (DENTED). Said pernik shallexpire on date stated above. Signature of City E &neer Additional Terms on the Back B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661)326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $20,8.00 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 7 . I11I t. Full name of applicant and complete address including phone number: ' • I , L1d AES T, I, mobS014VI 2212 MiJ-TL-k Si 14" SGIEL0 iw 13>)DI (64 I) -�03 O6di 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) �iLIG'� Cuw,r-r+US W�Willi IUtr� Few 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) 4. Period of time for which the encroachment is to be maintained: Indefinite or Other. (Please Circle) 5. Is property part of a Homeowner's Association Yes ✓ No Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the 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 applicants 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 permit is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or upon the revocation thereof by the City engineer, applicant will at his own cost and expense remove the same from the public oropertv or right of way where the same is located, and restored said public property or right of way to the condition as neatly 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 sufficient coverage for bodily injury or property damage liability or both and required endorsements evidenc- ing the insurance required. The type(s) and amount(s) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at anytime. S1EncroachmentPermits 4pplicationforEnemachment Doc Name: +••=s Homeowners We will provide the insurance described in this policy in return for the premium and compliance with all applicable provisions of this policy. Policy Number. 87 -BY -Q2823 Named Insured and Mailing Address Name: Mike Hawkesworth Street: 2212 Myrtle St City: Bakersfield State: CA Zip: 93301 Legal Tale: The Policy Period begins and ends at 12:00 AM Standard Time at the residence premises. Effective Date 12 months - Policy Period: June 23, 2011 Expiration of Policy Period: June 23, 2012 Limit of Liability -Section 1 Coverage A Building Property: $344, 000 Policy Type Homeowners Policy Caption: Replacement Cost Loss Settlement Provision: Actual Loss Sustained Option ID: $1,000,000 Liability Location of Premises Street. 2212 Myrtle St City: Bakersfield State: CA Zip: 93301 Forms, Options & Endorsements Bplate: Mortgagee & Addl. Interests AI Type: At Name: Street City: State: Zip: Al Loan Number. 'd Document Number. Please select an Operation Center. Bakersfield Coverage afforded by this policy is provided by: Name: State Farm TX Statement: Street: 900 Old River Road City/State/Postal: Bakersfield, CA 93311.9501 Home Office Statement: Legal Title (property): Automatic Renewal - If the Policy Period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholderwritten notice in compliance with the policy provisions or as required by law. Deductibles .- Section 1 $5,000 ALL LOSSES In case of loss under this policy, the deductible will be applied per occurrence and will be deducted from the amount of the loss. Other deductibles may apply - refer to your policy. Hurricane Deductible:. Earthquake Deductible: Wind Hail Deductible: Limit Agent Name & Address Agent First & LastName: Darlene Denison Agent Designation: Agent Inc Name: Street: 4903 Calloway Dr #103 City: Bakersfield State: CA .Zip: 93312 ,gent Work Phone: (661) 688-6070 Mailing Address Caption: Street: City: State: Zip: Agents Code: MORTGAGEE COPY 1002010 V Paget oft 200 138422 200 030&2011 B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM IT MAY CONCERN: we the undersigned, have no objection to the construction of a fence beside the sidewalk within the public righ t -of-way M t c�]A�t- �nw'�1tSu"ti (Sttce� for proposetl encroachment) ( hers Name) Qf Z2I-Z phhee- SLI 3030&c� (Address of proposed encro¢chmen[) SIGNED: 1.)Name: Address: f 7.) Name: Jl Address: 3.) Name: %dM cJaX Address: .7 L60 4.) Name: Address: 5.) Name: Address: 6.) Name, Address. 03m: Date: (� Date: Date: Date: D ate'. B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: October 28, 2011 SUBJECT: Encroachment Permit Application for: 2212 Myrtle Ave. Name of Applicant: Michael T Hawkesworth Description of Encroachment: 4' High brick columns and wrought iron fence across the front of the house 5-6' behind curb. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to install fence as described above. The applicant has provided proof of appropriate insurance coverage to Risk Management. Based on their review, staff recommends approval of the permit. 3 PERMIMENCROACH2O11 Approval LettemM12 Myrtle Ave.doc B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: October 5, 2011 SUBJECT: Encroachment Permit Application for: 2212 Myrtle Avenue Name of Applicant: Michael T Hawkesworth Description of Encroachment: 4' High brick columns and wrought iron fence across the front of the house 5-6' behind curb. Please review the attached encroachment permit and return to me at your earliest convenience. OGi 28� 26l l d J � S TERMITSIENCROACHTRAFFIC2212 Myrtle Avedoc • B h E R S F I E L I) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: .9sIphJCern; Risk anager CU lojlujli FROM: Bob Wilson, Supervisor II, Subdivisions DATE: October 5, 2011 SUBJECT: Encroachment Permit Application for: 2212 Myrtle Avenue Name of Applicant: Michael T Hawkesworth Description of Encroachment. 4' High brick columns and wrought iron fence across the front of the house 5-6' behind curb. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Myrtle Ave.dw