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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