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Home My WebLink About510 19TH STBAKE ENCROACHMENT PERMIT O�vwuow� S CITY OF BAKERSFIELD d PUBLIC WORKS DEPARTMENT 1501 TRURTUN AVE ® BAKERSFIELD CA 93301 c9y1F0 (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 . . . . . 12-30000021 Date 5/25/12 Property Address 510 19TH ST Application type description PW - ENCROACHMENT PERMIT Wner Contractor CITY OF BAKERSFIELD OWNER UNKNOWN ------------------------------------- •---------- •-_------------------------ Permit . . . ENCROACHMENT PERMIT Additional deso . . Phone Acce65 Code 1204619 Permit Fee 208.00 iaeue Data . . . . 5/25/12 Valuation . . . . 0 Qty Unit Charge Per Extension EASE FEE 208.00 --------------------------------------------------------------------------- Special Notes and Comments Construct median peninsula into cul-de-aac andinstall bollard andcard reader for entrance to gate. Serry Jones 408-569-7224 ---------------------------------------------------------------------------- Fees maey Charged Paid Credited one -----um---------- ---------- ---------- ---------- ---------- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 If revoke the permit at any time. Signature of Applicant (Own 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) CQNS. TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IE THEREFORI6�) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back K KE B A 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 $208.00 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 astherein defined.. Full name of applicant and complete address including phone number: U 5° 1ptw1 9 t 2 Nature or description of the encroachment for which this application is made: (Example: Wood or wrougnr trot fence, concrete block wall, raised planter, etc...) _5 c n '.( r< rQ1r�.9J (,ZOO r SF<r 1 1 � � l rjT c 1c, ra. TLI P.Q G r b 3. Location of proposed encroachment:. (Example: Side yard at back of sidewalk or front yard at back of sidewalk) /u x'330/ I 4, Period of time for which the encroachment is to be maintained Indefinite or Other. P se Circle) 5. Is property part of a Homeowner's Association Yes , 4 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 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 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 type(s) and amount(s) of insurance coverage is: t i < L— h 1 Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. 5. tEncmachmentPe chits W ppllcationforEncroachment evfaZ 3yvc S A I E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 30, 2012 SUBJECT: Encroachment Permit Application for: 510 19" Street Name of Applicant. US Dept. of General Services Admin Description of Encroachment: Construct median peninsula into cul-de-sac and install bollard and card reader for entrance to gate. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:IPERMIMENCROACNIINSURANCB51019th SGGoc �t B A K E R S F I E L 11) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor ll, Subdivisions DATE: May 30, 2012 SUBJECT: Encroachment Permit Application for: 510 le Street Name of Applicant: US Dept. of General Services Admin Description of Encroachment: Construct median peninsula into cul-de-sac and install bollard and card reader for entrance to gate. Please review the attached encroachment permit and return to me at your earliest convenience. 6ldS/i3O (L mop S'.7ERMIMENCROACHURAFF1051019th SUM