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
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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