HomeMy WebLinkAbout7110 FROG MEADOWS SToF,BPoK ENCROACHMENT PERMIT
+ CITY OF BAKERSFIELD
o PUBLIC WORKS DEPARTMENT
�, 1501 TRUXTUN AVE
BAKERSFIELD CA 93301
LIFO (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 . . . . . 12-30000036
Date 10/01/12
Property Address
7110 FROG MEADOWS ST
Application type
description PW - ENCROACHMENT PERMIT
Owner
..----------
Contractor
IKE CHARLES
--------•
OMER
7110 FROG MEADOW
ST
BAKERSFIELD
CA 93313
----------------------------------------------------------------------------
Ps—it .
. ENCROACHMENT PBPMIT
Additional daze .
.
Phone Access Code
. 1289077
Permit Fee . . .
. 208.00
Issue Date . . .
. 1Q/01/12 Valuation . .
. . 0
Qty Unit Charge
Per
Extension
1.00 208.0000
-------------------------------------------------------------
EA PW ENCROACHMENT
208.00
Special Notes and
Comments
--------------
October 1, 2012
2:19:28 PM mmenderhal.
Existing 1 1/2-
block wall in front
house at back of
sidewalk. Contact
person: Charles.
---__-`--.--------------
Ike 661-205-0202
Fee summary
-----------------
---------------------------------------"
Charged Paid Credited
Doe
Permit Fee Total
------------------------------
208.00 208.00 .00
----------
.00
Grand Total
208.00 208.00 .00
.00
Applicant acknPoedges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
revok a) pe' rt at any time.
�
v
c Oleg 6k-
SigNaKre 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) CONSTI E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE RANTED F(IMMEB) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
!-.-� 3zoo0.3�
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 $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.
int Full name of applicant and omplete address i yyuding phone number{� 1 l7 Ff z5 \ i uT- /3s�✓
L r /4/t. In o 7t c (4.G P fl'3 sir_
Nature or description of the encroachment for which this application is made: ampie: Wood or wrou t iron
fence, concrete block lwall, raised planter, etc...) / /
of proposed encroachment: (Example: Side yard at back of sidem%Ik or front yard at back of sidewalk)
4. Period of time for which Me encroachment is to be maintained: Indefiinite ) or Other.
ease/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 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 islocated, 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:
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at
anytime.
5'\En=achmentpemits4pplicationforEncroachment
B A K E R 5 F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 83301
(661)326-3724
TO WHOM IT MAY CONCERN
We the undersigned, have no objection to the construction of a fence besid th dewalk within the
public right-of-way.
-7 C� �' 2A �yw � Bv�-✓a� L
(S[rcet for r cse4 cn roechmlf caner .. e)
(Addresifpr000 etl encroe tmenr)
SIGNED:
1.) Name: �p55)P is✓1tlST/"L
Address: ./
2) Name:
B�kersfla > �A qa3/3
Address:
3.) Name:
Address:- Cww.
4.) Name:
Address:
5.) Name,
Address:
Date: pf- r k-- /z
Date:
Daie: L!
Date:
Date:
6.) Name. Date:
Address
GEICO Insurance Agency, Inc.
Underwritten by HOMESITE INSURANCE COMPANY OF
CALIFORNIA
One Geico Blvd
Fredericksburg, VA 22412
Phone number: 1-888-395-1200
To Report a Claim: 1-866-621-4823
CHARLESIKE
7110 FROG MEADOW ST
BAKERSFIELD, CA 93313-4943
New Business Declarations
For Policy Number 31861578
Policy Period This policy covers the listed
location(s)
From 12:01 AM. March 23,.2012
Through 12:01 AM March 23, 2013 (local time)
Gold Program
Authorized Representative
Issued by Homesite Insurance
Tier 001
Company of California
-Insured Location
7110 FROG MEADOW ST BAKERSFIELD CA 93313.4943
-
Description
of Dwelling
1999 Brick
veneer, Single family home, Primary residence, 1000&. or less from hydrant, within 5 miles from fire station
Deductible $1000
Incase of loss under Section I, we cover only that
part of the loss over the deductible stated.
Coverage
Limit Premium
Section I - Property
Coverage A - Dwelling
$251,000 $827-00
Coverage B- Other Structures
$25,100 Included
Coverage -0- Personal Property
$175,700 Included
Coverage D - Loss of Use
$50,200 Included
Section II - Liability
Coverage E - Personal Liability
$300,000 $23.00
Coverage F - Medical Payments to Others _ _
$3,000 $4.00
Additional Coverages
$139.00
See Additional Coverages on reverse side for details
Surcharges
$0.00
See Surcharges on reverse side for details
Discounts
-$284.00
See Discounts on reverse side for details
Authorized Representative
or r
T J
V
•
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager 1
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: October 8, 2012
SUBJECT: Encroachment Permit Application for: 7110 Frog Meadow St
Name of Applicant: Ike Charles
Description of Encroachment: 1 1/2' block wall behind sidewalk in front of
house.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
&WERMITS\ENCROACMINSURANCEV110 Frog Meadow St.doc
•
B A h 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 8, 2012
SUBJECT: Encroachment Permit Application for: 7110 Frog Meadow St.
Name of Applicant: Ike Charles
Description of Encroachment 1 1/2' block wall behind sidewalk in front of
house.
Please review the attached encroachment permit and return to me at your earliest convenience.
SAPERMITSTNCROACHTRAFFI07110 Frog Meadow StAx