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HomeMy WebLinkAbout2202 B STBA ENCROACHMENT PERMIT CITY OF BAKERSFIELD d PUBLIC WORKS DEPARTMENT aa� 1501 TRUXTUN AVE c. BAKERSFIELD CA 93301 AL1 0 (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 . . . . . 12-30000028 Date 7/31/12 Property Address 2202 B ST Application type description PW - ENCROACHMENT PERMIT Owner BUSBY CORY L 2202 B ST BAKERSFIELD CA 93301 Contractor ------------------------ OWNER ----------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code 1226992 Peimit Fee 208.00 Issue Data . . . . 7/31/12 Valuation 0 Qty Unit Charge Per Extension 1.00 208.0000. EA PW ENCROACHMENT 208.00 _______________________________________________________________________ Special Notes and Comments July 31, 2012 3:03:05 PM mmendebhal. Place 64 block wall at back of sidewalk along side of house on 22nd Street. Contact Person: Cory Hubby 206-890-3835 'Fee aummaty Charged Paid Credited __________ _ _______ Due ____ __________ __________ Permit Fee Total 208.00 200.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant a nowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 tc rev � e the rm' at any tim . t� I�� a '4ini Signfa re of ApplicanT Owner n � �Fnt Name Nit--REBY 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) CO ITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION I: THEREFOR RAN ) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back B s. K E A 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 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. //yy� �y�j 1. Full name of applicant and complete address including phone number: �-orlM.R"4' 12'UP_ O _ . /_ I_ _ . . — r 2. Nature or description of the encroachment for which this a plication is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) � 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 maintains : Lndeflmi or Other. ase Circle) 5. Is property part of a Homeowner's Association Yes i 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 upon the tv or right of way where the same is located, and restored said public property or right of way to the condition as 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 any time. S:\EncroachmentPennits WpplicationForEncroecM1ment B A I< E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661)326-3724 NO WHOM IT MAY We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public rght-of-way. 4Y: (Sareet Pa Piopos&d enmOnchment) ( wnersNa e) (AddrCSS of Proposed eecroaChmen[) SIGNED: 'I.) nlaroe, It�,t Address: 2.) Name; Address 1, 3.) Name: Date: Date: Z4//2—_ 4.) Name. Date: % :3 Address: 3-) Name: I / l eAIDA a ��� '*-q 4/' Address: � %/--,� t, 6) Name. L�i Address. t 5 -� O I Date: 7L3 __Q- Date: FARMERS NEXT GENERATION HOMEOWNERS POLICY MID-CENTURY INSURANCE COMPANY, LOS ANGELES, CALIFORNIA N TRANSACRONITPE OFFER OF RENEWAL The Pobcv Period is effective as shown below and after the time for which aoolied PNICYRUMMR SECTION I • PROPERTy ': YOBU PERIOD 1,129.52 A-DWUNNG PNRYIDDIDN -C-pMSDMEPRMIRO AAOSS Of IN E. ONAIEIANINY F MEM(ALPAYNENGM.OMEE H AMID 10 WIN NUI GAIN, AAIAMB an Payment or Gradin Eodt Omsrm ISSUING OFFICE: NRDIA 10: STANDARDRME 23175 NW Bennett St. 94942-46-98 07-29-2012 07-29-2013 12:01 A.M. Oa Hillsboro, OR 97124 This polity will mOnoe Fw immesfiee policy pwia4 H: (1) we dect to continue this insurance, and (2) if you pay the cucewA pr®Eum for each successive policy period as required by our rates, rules, fours and Premium plans tars m eff L NAMED INSURED AND MAILING ADDRESS: LOCATION OR DESCRIPTION OF ABSENCE PROALES: CORY L BUSBY (Ra -s amiiagald'is wars rimaiisetvii) 2202 B ST BAKERSFIELD CA 93301-3532 COVERAGES - We insure you for the coverages and limits indicated as covered by a specific limit or other mradou. Those Section I - Enensiore of Coverage and Sectio. II - Liability Exteusioas of Coverage that are not shown below apply as described in the policy. AMOUNTS NON SMOKER AND EXPERIENCE PATI17G PLAN DISCOUNTS HAVE BEEN APPLIED TO YOM POLICY. DEDUCTIBLES FOUCY ACTIVITY Deductible applicable to each covered loss: $2,000 $ NONE SECTION I • PROPERTy - SECTION II • UABILRY -. 1,129.52 A-DWUNNG D�SEPAMIFSNUMNS -C-pMSDMEPRMIRO AAOSS Of IN E. ONAIEIANINY F MEM(ALPAYNENGM.OMEE H AMID 10 WIN NUI GAIN, AAIAMB an Payment or Gradin Eodt Omsrm Ess F. Total. MORTGAGEE PAYS $312,000 431,200 $234,000 $124,800 4300,000 $1,000 SECTION I - EXTENSIONS OF COVERAGE SECTION II -LIABILITY EXTEMIM -.:. OF COVERAGE :: ANNUAL EMENDED AMOUNT CURRENTS RENNO NT BUILDING ORDINANCE PREMIUM .COI-COWNAGEA LOST (GARBAGE C. OR UW IDENIIIY MMN (DINING! PFASONdtNUURT LOSS ASBESSMDR ". $78,000 COVERED 10% $30,000 ICOVERED NOT COVERED $1,129.52 ENDORSEMENTS anuEMENTMMm EDITION NUMBER DBWPUON CA045 IED NGHO - ENDORSEMENT AMENDING SECTION I PROPERTY CONDITIONS CA099 IED FARMERS NEXT GENERATION HOMEOWNERS AMENDATORY ENDORSEMENT 56879 1ED ENDORSEMENT AMENDING GENERAL CONDITIONS 258531 1104 CALIFORNIA NOTICE OF INFORMATION PRACTICES 438BFU 542 LENDER'S LOSS PAYABLE ENDORSEMENT AMOUNTS NON SMOKER AND EXPERIENCE PATI17G PLAN DISCOUNTS HAVE BEEN APPLIED TO YOM POLICY. DEDUCTIBLES FOUCY ACTIVITY Deductible applicable to each covered loss: $2,000 $ NONE Previous Balsace 1,129.52 Pread® ANI wAf IAMME M Fees a 0®11 $7.00 OA a ANl H AMID 10 WIN NUI GAIN, AAIAMB an Payment or Gradin 9.00AICUNUPoNNmN. $ NONE Total. MORTGAGEE PAYS .SEE ADDITIONAL FEE INFORMATION BELOW This Declarations page is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all other Aeons of the policy. AGENT: DUSTIN GONZALES AGENTPHON6 (661) 589-0304 AGENTNUAI6ER: 95 41 331 / Cif^ojuLut(vj1r:iguamre Authorized Repreaesuadve clam uu I... m.n naoau.aa-oR fr ninvnd an th, R,..Pide l na- TIF -Rn,I RNnf11 IN E-� 5+ � I N E-� 5+ 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: August 22, 2012 SUBJECT: Encroachment Permit Application for: 2202 B Street Name of Applicant: Cory Busby Description of Encroachment: Place 6' block wall at back of sidewalk along side of house on 22ntl Street. Please review the attached encroachment permit and return to me at your earliest convenience. -P ��se Ca(l Co,(j t3 seg wv\ek) B SLtloc B AKE R S F I E L E) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager Oft ' " FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 22, 2012 SUBJECT: Encroachment Permit Application for: 2202 B Street Name of Applicant: Cory Busby Description of Encroachment: Place 6' block wall at back of sidewalk along side of house on 22'" Street. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANCE\2202 B SWOC