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Home My WebLink About602 LAKE VALLEY DRF�$PoK�R ✓ ENCROACHMENT PERMIT CITY OF BAKERSFIELD e PUBLIC WORKS DEPARTMENT � 1501 TRUXTUN AVE BAKERSFIELD CA 93301 c9LIFO 111 (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 . . . . . 13-30000026 Date 4/29/13 Property Address 602 LARE VALLEY DR Application type description PW - ENCROACHMENT PERMIT OWner Contractor MILLER MARINE A OWNER 602 LASE VALLEY DR EARERSFIELD CA 93307 ---------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1318443 Permit Fee . . . . 208.00 Issue Date . . . . 4/29/13 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ----------------- ___________________________________________________________ Special Nates and COmments April 29, 2013 2:31:50 PM mmeadenhal. Existing 4' high. chain link fence at back of sidewalk. Contact person: Elroy Miller 661-374-0478 ------------------ __________________________________________________________ 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 anytime. &b Signat a of Applic t (Owner/Agent) pursuant to the Bakersfield Municipal Code Chapter 12.20 to 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) "ONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE � RANTE )-(DENIED) Said permit shall expire on date stated above. Signature'of City Engineer Additional Terms on the Back / 3 3( 002 jo s !L S A Ie 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 12.217 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 completeaddress including phone number: E:1 Jazy N/AAonit M/U.CR 6i0).LAKIL IVALCypR GA%susFir" C,q 9330 bbt-37 oIL7k 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) (Y/Arn) W6XT ;U 9PcufitL� 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) ARr1ur1 j) S7C -reonT Avp Si ✓Ii2o OF <IdEwrtt.k. 4. Period of time for which the encroachment is to be maintained: Indefinite or Other. /r>I%)6'.i=r,✓TE (Please 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 maintenanceof 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 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 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 •any time, S 9EncroachmentPermils WpplicatlonforEneroachment B aR s F t p Public. Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (651) 326.3724 (O WHOM. IT MAY CONCERN We the undersigned. have no objection to the construction of a fence beside the sidewalk within the public right-of-way. (oo� LAYL t/Atl�r/ i�� By O''1A,�rrett A. /�IrLLc'n (Suet for pwpos�d enu oachmenl) (Owners Name) QC 'bQQQ. (Addrees of proposed eneroachmenc) l SIGNED 1.) Name: Address 51v t �� 2.) Name:. Address: 3.) Name: dCffLdG rGJ�{ Address (!O/A/�a vrr%f y' i7fe- 4.) Name: Address: 5) Name: Address: 6,) Name: Address: Date: Date: Date3— 2('-�;.' / Z Date; Date: Date: CERTIFICATE OF INSURANCE This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois El STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter. Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas Insures the following policyholder for the eoveragesindicated below: Name of policyholder MILLER, M INE Address Of Policyholder 602 LARE VALLEY DR, eAAERBFIELO CA 93302-5983 Location of operations Description of operations HOMEOWNERS The Policies listed below have been issued to the policyholder for the Policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims_ POLICY NUMBER TYPE OF INSURANCEPOLICY PEI 87 -n4 -E617-4 G EffeeWe pate Ex Comprehensive 06/22/12 ANNUAL PREMIUM Business Liability _ _ ___________--___ _ -------- is Thinsurance includes: . p Pe ,___ ❑Products- ��---`-' --"------------ Completed rations � ❑ Contractual Liability "'-- ------11-UndergroundHazard Coverage --.. ❑ Personal Injury ❑ Advertising Injury ❑ Explosion Hazard Coverage ® Collapse Hazard Coverage MA -DWELLING $154,000 ® MEDICAL $1,000.00 EXCESS LIABILITY POLICY PER Effective Data : Exp ❑ Umbrella ❑ Other POLICY NUMBER TYPE OF INSURANCE.POLICY PERK - Effective Data P-xprr, Of PROPERTY DAMAGE - l Each Occurrence General Aggregate $300,000 Products -Completed $ Operations Aggregate (Combined Singe. Each Occurrence $ Part 2 BODILY INJURY Each Accident $ Disease Each Employee $ Disease -Policy Limit $ Annual Premium $$620.00 Amount Paid $0.00 ImOunt Due - $0.00 AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY CPOLICY pEISCR BED HEREINVELY NOR NEGATIVELY AFFI If any of the described policies are canceled before its expiration date, State Farm will try to mail a written Name and Address of Certificate. Holder notice to the alliMrMte holder 30 days before carcellation. If however, we fall to UNITED SUCCESSORS A MORTGA S mall such notice, no obligation or liability will be Dxa succassoas nNn/oR AasxcNs imposed on State Farm or its agents. or 1414 EMAPLE RD FL 3°O repn „r�ptaU TROY, MI 48083-9937 LUAMit 1351213541 N19 -sone ofAumorzId Representative — A� 6 04/1512013 13 Trtle Date Agent's Code Stamp APO Cade F764 868984 e 3 041999 Pnnletl In USA. B A I-: E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 29, 2013 SUBJECT: Encroachment Permit Application for: 602 Lake Valley Dr. Name of Applicant: Maxine Miller Description of Encroachment: Existing 4' high chain link fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. del �. LZ 51 C 5:\PERMIT8\ENCR0ACH\TRAFFIC\302 Lake Valley Dctloc B .-)� 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: April 29, 2013 SUBJECT: Encroachment Permit Application for: 602 Lake Valley Dr. Name of Applicant: Maxine Miller Description of Encroachment: Existing 4' high chain link fence at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Lake Valley of doc