HomeMy WebLinkAbout3400 RIDGEMONT STENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(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 . . . . . 12-30000040 Date 10/25/12
Property Address 3400 RIDGEMONT ST
Application type description PW - ENCROACHMENT PERMIT
owner Contractor
________________________ ___________________
VO SHAWN .& LIM LANN NGEK ONNER
3400 RIDGEMONT ET
EpKEREPIELD CA 93333
Permit . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code 1258126
Permit Pee 208.00
Issue Date . . . . 10/25/12 Valuation . . .
. 0
Qty Unit Charge Per
Extension
1.00 208.0000 EA PW ENCROACHMENT
208.00
._____
Special Notes and Comments
October 25, 2012 3:01:54 PM menderhal.
3- high wrought i and brick fence at
back of sidewalk -existing. Contact:
Shawn Vo 661-8369802
_ ___________________________________
Fee summary Charged PaidCredited
Due
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,
revoke the permit at any time.
Signature of Applicant (Owner/Agent)
pursuant to the Bakersfield Municipal Code Chapter 12.20 to
'::�, t4,4 / 'J V0
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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE ( RANT ) (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
E
Public Works Department
1501 Truxlun 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,
1. Full name of applicant and complete address including phone number: � ff A-�2 ti V O � blWt C ehi-i'v
_2uoo kiC(-)-efr)oYL+ ST
'ta k r�rr e(I> erg �3t', c tY�ro4sv2
2. Nature or description of the encroachment for which this application is made: am 0, Wood or wrought iron
fence, concrete block wall, raised planter, etc...) I is r(g vr� u fry y- t +x F(nf C e -
3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
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4. Period of time for which the encroachment is to be maintained Indefinite or Other.
ase 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 Cit,
enolne. applicant will at his own cost and expense remove the same from the public
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 amoun�s) of insurance coverage is:
Th damn nn
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the. permit at
anytime.
S, 1EncroachmentPermitsV pplicatienforEneroachmenl
B A K E R 6 F I B L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326-3724
TO WHOM IT MAY
We the undersigned. have no objection to the construction of a fence besibe the sidewalk within the
Public right-of-way.
-3UOe? kidC?eir) kK+ JtBY: S KAh' J U l cz�yn rlK1
(3rrcet for proposad encroac invent) (0wnem Neme)
Of i�u-��u'S�i-C 16� C't't 4'�3 Cs Ce' (o q o Z
(Address of proposed encroachmen[) -
SIGNED:
1.) Name: ��'�r}{FJ-r
Address: ` 111
2.)Name:
Address: r3 ' �un'u'r IV G. 1-.
3.) Name: IA,17,lc=c JS t4ved rlAV
Address: J(/a✓ i�/CFiPii+cyY ,5T
4.) Name:
Address:
5.) Name:
Address:
6.) Name.
Address'.
Date. I
Date :LO -1, ` Z -
Date: 16-22 /Z
Date: 10-23-f L
Date/1'
Date. lb 10
T California Capital Insurance Company
Capital
CIG
EVIDENCE OF PROPERTY INSURANCE
Additional Interest Type: Mortgagee
Additional Interests Ls Bank, Lab Home Mortgage ,.,Applicant
V.; Shawn a Lim La. Ngela
Us Bank, Usb Home Mortgage
Vo, Shawn & Lim Lann Nget
Care of:
3400 Ridgemont Sl
Po Box 790179
Bakersfield CA 93313
St Louis MO 63179.0179
Home Phone: 661-836-9802
Loan Number.
Bus. Phone:
Medical Payments Each Person
Emm Accident
E-ormh
Term Effective Date: 911412012 I Expiration Data: 9114/2013
Legal Text Husband and wife as joint tenants
Property Locallon: 3400 Ridgemont St, Bakersfield, CA 93313
Description: Construction: Frame Year Built: 1985 Territory: 54 Protection Class: 3 j
Basic Policy Coverages
Elmits
Dwelling (Coverage A)
$240,000
Ou er Structures (Coverage 8)
$24,000
Unscheduled Personal Property (Coverage C)
$168,000
Additional Living Expenses (Coverage D)
$48,000
Personal Liability (Coverage E)
$600,000
Medical Payments Each Person
Emm Accident
$1,01)o
$25,000
Policy Deductible: $1,000
AdditionallOptional Coverages
Extended Dwelling Replacement Cost Coverage
Up to 200% of Coverage A Jmit
Contents Replacement Cost
Worker's Gompensa0on (Mandatory)
Total Annual Premium: $643
This is evidence that insurance has been bound for the above applicant effective 9/14/2012, pending issuance of
the property insurance. policy.
'This binder will remain in force for 90 days from the date of commencement of liability hereunder or when, if
earlier, it is replaced by a policy of the Company, and is subject to all the terms and conditions of said policy as
customarily issued by the Company. The. policy will be subject to the premiums, forms and company rules in
effect as of the Term Effective Date.
Should coverage be canceled for any reason, the company will give the Additional Interest identified above the
same advance written notice of cancellation as the named insured.
Servicing Agency:
Faligatter/Rhodes Insurance Agency - 90014
1701 G St
Bakersfield CA 93301
661-324-2424
Authorize\ Represent}t a Signature
�1
00-D28E (08-10) Page 11 of 11 Produced: 911412012
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E 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: December 6, 2012
SUBJECT: Encroachment Permit Application for: 3400 Ridgemont St
Name of Applicant: Shawn Vo & Lim Lann
Description of Encroachment: X high wrought iron and brick fence at back
of sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
1Llll/t,012-
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SiPERMITS\ENCROACHRRAFFIC13400 Ridgemont Stdoc
Y, _A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: December 6, 2012
SUBJECT: Encroachment Permit Application for: 3400 Ridgemont St
Name of Applicant: Shawn Vo & Lim Lann
Description of Encroachment: X high wrought iron and brick fence at back
of sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
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