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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 ---------------------------------------------------------------------------- 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• U) 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 A sxe+EcaOaM1ls es.W!9/za12 /9/2 wOGBwn X 0065Bix969 HMAWOS NOMONNEe PlR05 I I {M e�ani 3 ESGNPIIeNOFOFEMTONSILOCATgNSIVEmeL6 lay�LMOR01m: P6>Oh BaNBykxnepow.n monaw.. ••••v"--• ert1£iwia &oltlez. is. iadaded m Atltlitlmel I¢sozetl. Sooca0.laCieu of £ante aY 3010. Epe St in aakexsYialtl, G 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 .'.. �.oaxra rN1FR NM CONSTITUTE A CONIRAGT 6ElWEEN THE ISSUMO INSUIIER(Si Lae terms and tendf lom m the PmmY, cenam laamm ^' .------' ----- In W. of such mWarsemenUsl' Cer6fi0etehO1dm Am SOpez3ox Access xna 'flWWEfl p1gNE (800)272-7550 Superioz Access Insurance Services Inc Bawl - P.O. Bax 204389 BWCEfl „aA0291: s m TX' 78720-4389 wsum "`�gp1X4i Austin C i wsufleB TIMOTHY G. SHALE7208 �ff� aAIN'P AmvB a nRIVa ;, _'BIAws+uYIXI—A IX 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 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 .f 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 r 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 o. e. t igovtvu-p l* MltifMuO eF 4 FT. or Gi✓c%/,r-/I- fhu0 -T1PC- ✓/4 - Sr�>xc Yrs Nlrt;l�Tl1i',ve� S:\PERMITS\ENCROACH\TRAFFICYIa10 Eye St too