HomeMy WebLinkAbout10203 SALISBURY DRENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(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 . . . . 13-30000031 Date 5/10/13
Property Address 10203 SALISBURY DR
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
HAEIS MOKSEDUL 6 SHAMIM OWNER
10203 SALISBURY DR
BAKERSFIELD CA 93311
Perm't . . . ENCROACHMENT PERMIT
Additional deac . .
Phone Acceee Code 1322932
Permit Fee 208.00
Issue Data . . . . 5/10/13 Valuation . . . . 0
Qty Unit Charge Per
EASE FEE
______________________
Special Notes and Comments
6' Concrete block wall on the side of
house with an iron gate.
----------------------------------------------
Fee summary Charged Paid
____________ __________ ----- _____
Permit Fee Total 208.00 208.00
Grand Total 208.00 208.00
Extension
208.00
--------------
____________________________
CreditedDue
__---
__________
.00 .00
.00 .0a
Applicant acknoyrledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
p
revoke the r it at
Sigriat of App Ica ( caner gent) 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) CE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;. SAID APPLICATION IS
THEREFORE , (DENIED) Said permit shall expire on date stated above.
�2
Signature City Engineer
Additional Terms on the Back
,3
B A K E R S F I E L D
Public Works Department
1501 Tru>hm Avenue
Bakersfield, California 93301
(861)325-3724
APPLICATION FOR ENCROACHMENT PERMIT
Permit Fee $208.00
To the City Engineer of the City of Bakersfield, California:
Pursuant to the provisions of Chapter 12.26 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. MOKSEn L HAM.
10;2o3 SA44Seo2y-b2WE�6RKekSrE(D,eA93311TT�•o661-6633-I-�L
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...) tr
;,C-eth (oD 11 rtia// wgy tro� fiz.
3. Location of proposed encroachment (Example; Side yard at back of sidewalk or front yard at back of sidewalk)
Corvter �. ase Sole- �arc� orcia �rFr.a.,� K-vw Rbbsh
4: Period of time for which the encroachment is to be maintained: ndeffnite or Other.
ease Circle)
5. is properly part of a Homeowner's Association 1/ 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,orjudicial 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
tv or right of way where the same is located, and restored said public property or right of way to the condition as
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.
5-tEnc�oacM1manlPennitsUpplleaHonforEneroeehment
B A K �Fl D
Public Works Department
1501 Truxwn Avenue
Bakersfield, Cafifornia 93301
(667)326.3724
TO WHOM IT MAY CONCERN:
%Ne the unde-519ned, have no objection to the construction of a fence beside the sidewalk within the
public right-of-way.
777 or proposad encroachment ( wnFc; ame
r, oao-2o 5AOsBL).w -J>P-0e ph^ '0— KG 371.7
(Addres%. of proposed cncroachmen0
SIGNED:
I ) Name
Address:
2.) Name: ftnnc UY0 In
Address: 1214 u\C,.S
3.; Name: jjjai/.NY_01/
a.) Name:
Address'.
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z
5 ) Name:
1 u r�
Address:
I7 nti e%o
5
YSakeesF�L I 43311
6.) Name,
L=9
Address:
]:e
Date: 0S/ 09 "'a2o/3
Date, 0S'/ 09 / 2od3
Date. 0,51 07 ?013
Date: OP 0 I aa) 3
Date: dS"y 01 1.2013..
Date: 0 o /.30)3
AhMercury Casualty Company
POLICY PEPIDD
Policy Number P � t 1 iD
HD. 12482040 STANDARD HOMEOWNER DECLARATIONS /24/2 1 as/2a/2at3
NAMED INSURED:
MOKSEDUL HABIB AND SHAMIM
HUSBAND AND WIFE AS JOINT TENANTS
M111. To PRODUCER:
MOKSEDUL HABIB AND SHAMIM GAUSEPOHL INS. AGENCY,INC.. 8412 12
10203 SALISBURY DRIVE 2130 MAIN ST., STE.110
BAKERSFIELD. CA 93311 HUNTINGTON BEACH CA 92648
TELEPHONE: (800) 356-7519
DATE MAILED: 07/05/2012 PAGE 1 OF 1
PROPERTY LOCATION: 10203 SALISBURY
DRIVE
BASIC
966
$ 15,000 BLDG CODE COSTS-
INCLUDED
BAKERSFIELD
CA 93311
OPTIONAL
25
FIRST MORTGAGEE:
SECOND MORTGAGEE:
WELLS FARGO BANK NA #708
INCREASE COV E 25 TOTAL
TOTAL PREMIUM
ITS SUCCESSORS AND/OR ASSIGNS
FO EMENTS
A'rrAcnso ro rxEvoucv P-10 04/2007 438BFUNS P -56H0
IMPORTANT INFORMATION
EFFECTIVE 08/24/2012
This policy declarations replaces all declarations with the same or prior effective date,
Your insurance expires and coverage ceases at 12:01 AM on 08/24/2012.
Coverage under this policy will become effective provided the premium is paid as indicated
on the enclosed Notice of Premium Due.
INCREASED DEDUCTIBLE CREDIT APPLIES. RENEWAL DISCOUNT OF 15Y APPLIES.
DOG LIABILITY EXCLUSION APPLIES.
THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE.
PO BOX 23030
JACKSONVILLE FL 32241-3030
LOAN It 0258660562
SECTION COVERAGES DEDUCTIBLE 5 1 OO
LIMB OF LIABILITY
SECTION II COVERAGES
LIMIT OF LIABILITY
er
N. OWELLSPI6 r(see re sitlel
6
62.0
EPEBSONAL LIABILITY
B. OTHER STRUCTURES
6
56,200
EACH OCCURRENCE 6
300..000
C. UNSCHEDULED PERSONAL PROPERTY
6
393,4 O
F. MED PqY EACH PERSON
S .00O
D. LOSS OF USE
g
1 2, 400
MED PAY EACH OCCVRRENCE 5
- --.- urm-Invam LIeWCnir_!g muryuen ons. r,aa vv�evo x�, mry ew rnnaea ar men
OPTIONAL COVERAGES LIMIT PER AGGREGATE p,EM,UM PROPERTY PREMIUMS
ARTICLE PER LOSS
BASIC
966
$ 15,000 BLDG CODE COSTS-
INCLUDED
INCLUDED IN COVERAGE A LIMIT.
OPTIONAL
25
INCREASE COV E 25 TOTAL
TOTAL PREMIUM
993
FO EMENTS
A'rrAcnso ro rxEvoucv P-10 04/2007 438BFUNS P -56H0
IMPORTANT INFORMATION
EFFECTIVE 08/24/2012
This policy declarations replaces all declarations with the same or prior effective date,
Your insurance expires and coverage ceases at 12:01 AM on 08/24/2012.
Coverage under this policy will become effective provided the premium is paid as indicated
on the enclosed Notice of Premium Due.
INCREASED DEDUCTIBLE CREDIT APPLIES. RENEWAL DISCOUNT OF 15Y APPLIES.
DOG LIABILITY EXCLUSION APPLIES.
THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE.
-a Ho osrzms
INSURED COPY
B A- h E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager -"U
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: May 13, 2013
SUBJECT: Encroachment Permit Application for: 10203 Salisbury Dr
Name of Applicant., Moksedul & Shamim Habib
Description of Encroachment: 6' concrete block wall on the side of house
with an iron gate.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:( PERMITS\ENCROACH\INSURANCEtl0203 Salisbury Dcdoc
�L
E --)� I� E R S F I E E D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: May 13, 2013
SUBJECT: Encroachment Permit Application for: 10203 Salisbury Dr
Name of Applicant: Moksedul & Shamim Habib
Description of Encroachment: 6' concrete block wall on the side of house
with an iron gate.
Please review the attached encroachment permit and return to me at your earliest convenience.
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