HomeMy WebLinkAbout9312 SEAGER CT01/01/1997 11:40 661-250-1903 BTW PAGE 02
ENCROACHMENT PERMIT
-� CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRWATUN AVE
BAKERSFIELD CA 09301
(661)3263724
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA
Pursuant to the provisicna of Chapter 12.20 of the Bakeraileld Municipal Code. the undersigned applies for a permit to pi
erect use and maintain an mcrdachment on public property or dgttt of way as therein tle6nsd,
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11-10000010 Date 1/22/12
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Applicant acknowledges the right of the City Engineer. pursuant to the Bakeref eld Municipal Code Chapter 12.20 to
revolts the permit tat'(a`M.
tSignature of A�pplk:ent rlS4gellt) Print Neme
1 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
THEREFOR4(01VANTED) (DENIED) Said perrlt shall expire on date stated above.
6ignettlrc of City Ermplfinear
Additional Terra on the Back
01/01/1997 11:40 661-250-1903 STW PAGE 03
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, oausos of actim or demands Whatsoever against them, or any of
them, before administralive of judicial Mbunals of any kind whatsoever, wising out of connected with, or caused by applicant,
or in any Way arising from, the terms and provision 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 parry indemnified hereunder, except for CITY's
mile active negligence a' willful misconduct. The appecontfurther agreas to maintain Meaforesaid encroachment during the life
of the said eneroaenmant or until such time that this permit is memo
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 coat and expense remove the same from the public property or right of way
Where the same is located, and raiders, Said public property or right of way to the condition asnearly as that in Which it Was
before the placing, erses on. 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 dedificste of issuance evidencing sufficient
coverage for bodily Injury or property damage liability of both and required endorsements evidencing the insurance required.
�{ readandaafno ledge the above:
X �J% Applicontb Inflicts
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 permit to place,
erect, use and maintain an encroachment on public property or right of way as therein defined.
Application Number . . . . . 12-30000010 Date 2/26/12
Property Address 9312 SEAGER CT
Application. type description PW - ENCROACHMENT PERMIT
owner Contractor
_ _ ________________________
MYERS MICHAEL JR & DIANE OWNER
9312 SEAGER CT
BAKERSFIELD CA 93311
Permit . .. . ENCROACHMENT PERMIT
Additional dest . .
Phone Access Code . 11]]146
Permit Fee . . . . 208.00
Issue Data . . . 2/28/12 Valuation . . . . 0
Qty Unit Charge. Per Extension
1.00 206.0000 EA PW ENCROACHMENT 208.00
_________________________________________________________
___________________
Special Notes and Comments
4' high decorative concrete block wall
in front yard at back At sidewalk.
Contact person: Michael Myers, Jr.
661-665-1396
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 208.00 208.00 .00 .00
Grand Total 208.00 208.00 .Do .00
Applicant acknowledges the right of the. City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time.
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)
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) (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
B A K E R 5 F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661)326-3724
APPLICATION FOR ENCROACHMENT PERMIT
Permit Fee $208.00
To the City Engineer of the City of. Bakersfield, California:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Cade, 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: 1Y1 i CGI cf eG ,C' A4rirf \;-X
93J� C6 Qgkr7lCr4,e !;A
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...) nPG ✓4 c 64 c .o <e- R L -jS
3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
J%�on �i t.rdi Cir7c�„ aF e iia w' L
4. Period of time for which the encroachment is to be maintaine Indefinite or Other.
ease Circle)
5. Is property part of a Homeowners Association Yes XNo
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 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 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
property or right of way where the same is located, and restored 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 sufficient coverage for bodily injury or property damage liability or both and required endorsements evidenc-
ing the insurance required. The types) 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
any time.
a'.\EncroachmentPemile WpplicationforEncroachment
•
B A K E R S F I B 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 right-of-way.
(S�re5to opasedencruocliinenl ✓niY
wners Neme
of 93fa' sea oe C'i- rnnne bbl 6G6'- -/396
(Address of proposed encroaehmen[)
SIGNED:
1.) Name:
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Address:Q1(�
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2.) Name:
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Address
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3.) Name:
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4.) Name:
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5.) Name.
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6.) Name _
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Address:
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Date:
Date:
Date:
Date:
Date:
Date:
01/01/1997 00:01 661-250-1903 STIA PAGE 02
Interinsurance Exchange of the Automobile Club
i AAA YourHome - Homeowners Policy Coverages and Limits
0®; New Business Declarations -Form 3
Insurance Is In affect only for the property, coverages and limits of liability shown on this declarations page and set forth in the
insurance policy and endorsements. These declarations, together with the contract and the end rsements in effect, complete
your policy.
YOUR NAME AND MAILING ADDRESS (NareM Inzwed)
HOMEOWNERS POLICY NUMBER
MYERS, DIANE AND MYERS, MICHAEL CHo e20417005
9312 SFAGER CT FOHCY PERIOD (PACIFIC STANDARD TIME)
BAKERSFIELD CA 93311-1621
THIS POLICY IS EFFECTIVE
FROM; 05-01-2011 1201'.AM,
TO. 06412012 1291 AM.
YEAR BUILT; 19x4
COVERAGES AND LIMITS OF LIABILITY
- Coverages are subject to all conditions of this policy.
Part I Proparb Cpveranee
DeaeNptlon
Deductible•
Limit.
Dwelling
Coverage A"
Yes
$253:000
Other Structures
Coverage B-•
Yes
$26,300
Unscheduled Personal Property
Coverage C
Yes
$197,250
Loss of Us.
Other Coverages 1. (20% of the amount of Coverage A)
No
Building Code Upgrade
Other Coverages 5. (10% of the amount of Coverage A)
Yes
The limit of liability for this structure (Coverage A) is based on an estimate of the cost to rebuild your home, including
an approximate
cost
for labor and materials in your area, and
specific information that you have provided about your home.
• A deductible of $500 will apply as indicated.
" Coverage A and Coverage 8 - Extended Replacement Cost Included
Part 11 LIAbRin, Cowradas
Description
Limits
Personal Liability
Coverage D (Bodily Injury
and Property Damage) - Each Occurrence
$500.000
(Personal
Injury) in the Aggregate
Medical Payments to Others
Part IV Work 'C tion rfE
Coverage E - Each Person/^1' /1 �/I
M 'iUmpurtYC (�l rl�Tu
•1,L nit
$1,000
Description
Workers' Compensation
Coverage F - Statutory 1O
Employers' Liability
Coverage G (per Conditions Part IV Provision 3) p„( -<-p, iL,
Residence Employees - Outservent(°) 00 1 Inenvard.) 00
Multi Policy Roof Type Burglar Alarm
Fire Alarm
tPOL
Single Story ------ ---_
Additional coverages
9.... Coverages La°0 Liability Megrcal Residence Endorsements CIGA TOTAL
O'acaunR Payments Employes• Aaseement PREMIUM
5965 - $315 ♦ $42 h - $692
• If at policy inception you chose to pay less than Me full premium due, a $5 Sea applies to each installment billeq as stated in
your billing statements, which are part of these declarations.
THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE.
i6w, 4' PROCE46 DATE: 0130.2011 (SEE REVERSE)
PLEASE KEEP WITH YOUR POLICY
/47/-r, a/ I ja
All
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B A K E R S F I E L T-)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: February 29, 2012
SUBJECT: Encroachment Permit Application for: 9312 Seager Ct
Name of Applicant: Michael & Diane Myers
Description of Encroachment: 4' high decorative concrete block wall in
front yard at the back of sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
2 Seager Ct.d=
i��e�%�Z •
E .A T-�: E R S P I E L L>
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: February 29, 2012
SUBJECT: Encroachment Permit Application for: 9312 Seager Ct
Name of Applicant: Michael & Diane Myers
Description of Encroachment: 4' high decorative concrete block wall in
front yard at back of sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
8:\PERMITS\ENCROACH\INSURANCE\9312 Seager Gtdoo