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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) bei lilKd SfhC 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 �L 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- mice Zo(2mice- !faker r 04:- 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. S:\PERMITSSENCROACMINSURANCEt3400 Ridgemont Sttloc r r r r (;f 4411