HomeMy WebLinkAbout1810 EYE STBA
ENCROACHMENT PERMIT
OF S
�cn CITY OF BAKERSFIELD
v t2 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 . . . . . 12-30000045 Date
12/09/12
Property Address 1810 EYE ST
Application type description PW - ENCROACHMENT PERMIT
Own2r contractor
--------------
------------------------
SMALE FAMILY TRUST OWNER
7208 ST ANDREWS DR
BAKERSFIELD CA 93309
__________________________________________________________________
Permi[ . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code.. 1271238
Permit Fee . . . . 208.00
269ue Date . . . . 12/07/12 Valuation . . . .
0
Qty Unit Charge Per
Extension
1.00 208.0000 EA PW ENCROACHMENT
208.00
____________________________________________________________________________
Special Notes and Comments
Place 38" wrought iron fent and 4B°
deep canopy o erhang along with crew
grates on sidewalk
Contact person: Timothy Smale
'
661-303-0564
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Fee summary Charged Paid Credited
__________ __________ __________
Due
______ __________
Permit Fee Total 208.00 208.00 .00
.00
Grand Total 208.00 208.00 .00
.c0
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
rev k1�any // �� n
l Y `��U
Signa Ore of A&licant (Owne /Age 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 (GRANTED) (DENIED) Said permit shall expire on date stated above.
L ^
Signature of City Engineer
Additional Terms on the Back
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.
�" -n5 -r
1. Full name of a t t a complete add ` including phone number. '%�-'��
2. Nature or description of the encroachment for whic1%, application Is ma a Exampiy.:yy lNooc wrought iron
fence, concrete block wall, raised planter, etc..., F, f I "" y"`t'T i 12ti h
Al -C —�t' �-hf (t OMT}H,�4 t >Eit iE' c�+' W
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 maintaine Indefinite r Other.
`s,e Circle)
5. Is property part of a Homeowners Association Yes 7+_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 enoineer applicant will at his own cost and expense remove the same from the public
property or right of wax 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 piecing, 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.
S:\Encroachmentpeenitsy pplicaticnforEncroachment
CERTIFICATE OF LIABILITY INSURANCE l2iWI 12
lED AS A MATTER OF INFDRUMON ONLYANDIXi,ENOON� A �VEfiAPONGE AFFOIIDEDCmIF ABY TNOE PO�lGE
AFFIRMATIVELY OR NEBATRELY AMEND, AU
1E OF INSURANCE DOES NOT CONSTiTIRE A INiTRACT BERNEEN THE BEBU1NO INSURER(S), AUTHORMED
IDUCER; AND THE CERTIFICATE HOLDER•
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ate haltlBz ism
ADDRN)NAL BSURED, the poDey(I¢) must be enMxsad.`It SUBROGATION IS WANED, sublet[
Bml9lwt cooter NgtAs to the
tnetenre anamnaems era,e r•+••�s••^••-^•-------
certificate hDWm M Ileo of such emiarsemem(s).
PPOWCEP
Superior Access Insurance Services Inc
P.O. Box 204389
NBUREe
TIMOTHY G. 9MMZ
7208 SAINT ARDRBNS DRIVB
....,,a—l—I CA 93309
T WIDI RESPECT TO
IS SUBJECT TO ALL
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CANCELLATION
,ERTIFICATE HOLDER
WWW ANY OFTNEASOVE OESGMBEO POUDIESBE CM EiLEn BEFORE
THE E,,,MN DATE i Ef1EOR NOT[GE WILL eE. OEIIVERED IN
pCWI1OANCE VAIN THE POLICY PROVISIONS.
The City of Bakersfield, its maYox, ,___.------
council, employees, agents aatNoa�e naEBBsswrnnva
and VOlunteess
1501 Truxtun 93301
Bakersfield, Matti Haxsal3/SSCAG
ACORD 25 (2008189) ®188&2009 ACORD CORPORATION. All fights teseiv£
ACORr�25(2 The ACORD BaiRReW logo era registered mado, 0 ACORD
CERTIFICATE OF LIABILITY INSURANCE I 12/4/2012
RU AS A MATTER OF INFORMA710N ONLY ANO CONFERS NO RIGHTS UPON 711E OER7IFICATE HOLDER. THIS
AfFIRMATIVELV OR NEGATIVELY AMEND, EXTEND OR.ALTFA THE COYERAOE AFFORDED BY
, AUTND RED
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Lae terms and tendf lom m the PmmY, cenam laamm ^' .------'
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Am SOpez3ox Access xna
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Superioz Access Insurance Services Inc
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P.O. Bax 204389
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at 1810 Bye BG in BakeaEiald, Ch 93301
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SN0 ANY OF THE ABOVE OEBCW8W POIICO:a BE CANCELLED BEFORE
lNE
-N
DATE 1MEFffOF. N,,GE WILL BE OE04REO IN
AESORDANCE Yi(IH TIIE POtlOY FflO W 8HN18.
The City of Bakersfleld, Sts MY=,
cOBvcil, ewplOyees,. agents nBnwrnm flemNsarATNE
and volunteers
1501 TE xtun
Bakersfield, CA 93301 Patti 9arte1l/SSCAG
®198&2M9 ACORD CORPOHATKK All dgM reserved.
Tire ACORD mm and hyo me registered marks Of ACORD
HFEONAW
oeouclwlE
at 1810 Bye BG in BakeaEiald, Ch 93301
xoldas. is iamaean a.
SN0 ANY OF THE ABOVE OEBCW8W POIICO:a BE CANCELLED BEFORE
lNE
-N
DATE 1MEFffOF. N,,GE WILL BE OE04REO IN
AESORDANCE Yi(IH TIIE POtlOY FflO W 8HN18.
The City of Bakersfleld, Sts MY=,
cOBvcil, ewplOyees,. agents nBnwrnm flemNsarATNE
and volunteers
1501 TE xtun
Bakersfield, CA 93301 Patti 9arte1l/SSCAG
®198&2M9 ACORD CORPOHATKK All dgM reserved.
Tire ACORD mm and hyo me registered marks Of ACORD
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B A Is E R S F I E I. D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager `1E".
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: January 10, 2013
SUBJECT: Encroachment Permit Application for: 1810 Eye St
Name of Applicant: Smale Family Trust
Description of Encroachment: Place 38" wrought iron fence and 48" deep
canopy overhang along with tree grates on
sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:IPERMITS\ENCROACMINSURANCE\1810 Eye Stdoc
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Y, _-�, H E R S F I E L U
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: January 10, 2013
SUBJECT: Encroachment Permit Application for: 1810 Eye St
Name of Applicant: Smale Family Trust
Description of Encroachment: Place 38" wrought iron fence and 48" deep
canopy overhang along with tree grates on
sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
/ll7/2013
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