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HomeMy WebLinkAbout5504 ROCKVIEW DRaax ENCROACHMENT PERMIT F�wvo+r k -�' CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE c y y® BAKERSFIELD CA 93301 1 F (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 . . . 13-30000005 Date 2/06/13 Property Address 5504 ROCKVIBW DR Application type description pN - ENCROACHMENT PERMIT Owner Contractor ------------------------ ITH PEON OWNER 5504 ROCKVIEW DR BARERSFIELD CA 93313 ------------------------------- -------------------------------------------- Permit ENCROACHMENT PERMIT Additional dean . . Phone Access Code . 1288851 Permit Fee . . . . 208.00 Issue Date . . . . 2/06/13 Valuation . . . . 0 City Unit Charge per Extension 1.00 208.0000 EA PW ENCAOACfMENT ... 208.00 ------------------------------------------------- Special Notes and Comments February 6, 2013 11:25:17 AM mmendenhal . Existing 4' w ought iran fence located behind sidewalk. Contact person: Pech Ith - (661) 342-4719 . --___ ---------------------------•_------1-----_-. Feemmary Charged Paid Credited ---------- ---------- ---------- Due --------------------------- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 206.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. aeea-' I?cet1 'ST" Signature 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) CONS IITT�TE 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 / 3, 0000') /J 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. 1. Full name of applicant and complete address including phone number: pi T 1 inIY SSv�A Rock; w :DL @A 53313 (W) 3y2 —`011 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, letc...)_�'� 1�ki �g�t �rgi.. aM..k au nLet o,pO.t�; 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) _tui* and l - d. Period of time for which the encroachment is to be maintained definite "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 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 endorsementsevidenc- ing the insurance required. The typeO and a ount(s) of insurance coverage is: ,y,�� O� I�QS f'3tn :c,., 1fAe �+ 4'1•!' In1,.6919 V Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. SOEncroachmentPermil5 W.pplicafionforEncroachmenl B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 83301 (661)326-3724 iO WHOM IT MAY CONCERN We the undersigned, have no abjection to:the construction of a fence beside the sidewalk within the public right-of-way. �ocKy 2w ar. ByI P Fc(+ xiN (Str"( for proposed mmroachmenD ( wners Name LE '55d1-� �'OCV-V�Rs-j in. phnnP hbl 34z-1410 (Address of propoxed cncroachinenc) SIGNED: I) Name Address 2.) Name: �U. AddressI� 3.) Name- " _ - Address:— 4.) Name: Address'. 5) Name'. Address'. 6) Name: Address' Date: i --s"7— /� Date:', I - 3/-fi3 Date: Date: �r Date: �' Evidence of Insurance for Mortgagee/Other Interests A& FARMERS This farm is not the contract of insurance. It is a memorandum of coverage limited to mortgageejud ur interests, provided a their request and applicable to the dwelling or building at the location below. The provisions of the policy will prevail in all respects. This certificate of insurance does not affirmatively or negatively smerrd, extend ar dterthe coverage afforded by the insurance policy. Should the insrumrce policy be cancelled by the company before the mpiradon time thereof, notice will be given in accordance with the policy provisions. histaed IRlormatlea Named In Bard CHIP ITH AND SOKUNTHRA fM Mulling Address 55M ROCKVIF.W DR BAKERSFIELD CA 93313-5224 Property Address 5504 ROCKVIE: W DR BAKER.SFIELD CA 93313.5224 Polk► IRfomwlbn Policy Number 957656272 Company Name MID-CENTURY INSURANCE. COMPANY Policy Type NEXT GENERATION HOMEOWNERS Policy Smtua IN FORCE Policy Term Pffeudw Dat 08/012012 Renewal Det. 08/012013 Amount Premium . 1 Balance Due S20.43 Find 111101%agee JPMORGAN CHASE BANK NA ISAOA ATIMA PO BOX 100564 FLORENCE SC 29502-0564 Setald MostgageW011er Illlere d No Additional MartgagecisliOther Intervals) available Agent ildorm tiu Name EMBER STILES Ada PO BOX 61644 IRVINE CA 926D2-6054 Phone 949.588-0204 Fan 949-266-9191 Email CSI116!U�fanllCRagenLenm CWMFage IrAFMUtiM Coverage Limit Dwelling 5340.000 Extended Replacement Cost $85.000 Peraaudxmpem 5255000 errand Liz-iR y 53011,000 Deduetibta applicable to eaeb covered bra: $2.500 Loan Number 3062122704 Who Pays INSURED Mortgagee Effective Date W152012 Fp�ppgp Dedul:tlb1§Qalse Far e'ny'7uss in which ody the mortgagee's inlerca is adjusted and sealed. not including any mlerest you may have in the pmperiy or 105S, the applicable deductible will be the smallest of me following amounts: 1. The deductible sward in the decwratiamar renewal nodhc, or 230110 Tho policy deductible shared in the declerationsor renewal notice will apply to settlement of any inlercntyoa may have in me proprrty or loss 438BFUNSErdoesememindnded Y ssM al] Print Date: 0210420/3 II I I I aap.a]uto Ja"S �Wo A Wno Fe 4WaaP!5 Pasodwd m 6ugarx3 I O I �J I, CC O TO: FROM: DATE: SUBJECT: E R S F I F L L? PUBLIC WORKS DEPARTMENT MEMORANDUM Jena Covey, Risk Manager Bob Wilson, Supervisor ll, Subdivisions February 8, 2013 Encroachment Permit Application for: 5504 Rockview Dr Name of Applicant: Pech Ith Description of Encroachment: Existing 4' wrought iron fence located behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. 8:\PERMITS\ENCROACH\INSURANCE\5504 Rockvlew Ocdoc TO: FROM: DATE: SUBJECT: • F_, A F- F_. R S F I E L r> PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer II Bob Wilson, Supervisor ll, Subdivisions February 8, 2013 Encroachment Permit Application for: 5504 Rockview Dr Name of Applicant: Pech Ith Description of Encroachment: Existing 4' wrought iron fence located behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 5:\PERMITS\ENCROACH\TRAFFIC\5504 Rockview Dr.doc B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 17, 2013 SUBJECT: Encroachment Permit Application for: 5504 Rockview Dr Name of Applicant: Pech Ith Description of Encroachment: Existing 4' wrought iron fence located behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S/2//20(3 S:IPERMITSIENCROACHTRAFFIC15504 RockVIM Dr.doc Y, A- h E R S F I E L L? PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager` FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 17, 2013 SUBJECT: Encroachment Permit Application for: 5504 Rockview Dr Name of Applicant., Pech Ith Description of Encroachment: Existing 4' wrought iron fence located behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Rmkvim Dcdoc