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
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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