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
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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