HomeMy WebLinkAbout4201 CYCLONE DRBaK
ENCROACHMENT PERMIT
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CITY OF BAKERSFIELD
o PUBLIC WORKS DEPARTMENT
�, 1501 TRUXTUN AVE
tu„'�.`«� BAKERSFIELD CA 93301
CgL1PO (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 13-30000030 nate
5/03/13
Property Address 4201 CYCLONE DR
Application type description PH - ENCROACHMENT PERMIT
Owner .Contractor
SINGH SAL MOHAN & RAM POOP OWNER
4201 CYCLONE DR
BAKERSFIELD CA 93313
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Permit . . .. ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code 1320555
Permit Fee 208.00
Issue Date . . . . 5/03/13 Valuation . . . .
0
Qty Unit Charge Per
Extension
BASE FEE
208.00
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Special Notes and Comments
Existing 4' High wrought iron fence i
front of the house behind sidewalk and
side of house.
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Fee summary Charged Paid Credited 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, pursuant to the Bakersfield Municipal Code. Chapter 12.20 to
revoke the permit at any time. (�
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Signature of Applicant (Owner/Agent) rint 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 ! (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
13 ,ci c) C) 03 T)
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 12.26 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: 6 0 t NIC Vl p.N 5 ti (5N
i.2eJ� CY CL�,�� 'pr Ali E2S' FIG�p CA 43313 [`�1- X31- 7758
2. Nature or description of the encroachmentfor which this application is made: (Example: Wood or wrought iron
Ante, concrete block wall, raised planter, etc...
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3. Location of proposed encroachment. (Example., Side yard at back of sidewalk or front yard of back of sidewalk)
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c. Period of time for which the encroachment is to be maintained: Indefinite ✓or Other. tN 17 t h 4) I C
(Please Circle)
5, is property part of a Homeowner's Association Yes V Ne
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 judictal#dbunals 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 thatthis 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 engineer, applicant will at his own cost and expense remove the same from the public
property or right of way where the sameislocated, 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-
:ng the insurance required. The types) and amounts) of insurance coverage is:
APplicanlacknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code. Chapter 12.20 to revoke the permit at
any time.
e �EncroacbmentPermitsV.pplbationforencroacM1menl
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Public Works Department
1501 Twxtun Avenue
Bakersfield, California 93301
. (661)326-3724
TO VV4OtV, tT MAY
'Ne the unde-signed, have no objection to the Construction of a fence beside the sioewalk within the
Public sight-o6way.
C yC LOIN t- 0-f" 6Y: 4A L- AIG HA -W
(;rue. for pmpased encroachment) (Owners Name)
4201 CYCLc C ne. a ens ePd' Nh r 6E,I c— 7)57
(Address of pr000setl a:croaGsmenr) CA t).3� i e -
SIGNED:
1) Name
Address
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t? ' /„ �. Di•
2.) Name
i
Address:
�.; Name
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(�`t•�tC 1.1
Aodress:
4.)Name
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Address.
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5) Name:
Address:
6.) Name.
Address
Date:.
Date !1 2cIJ
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Date.. > i 1 ! �-'.
Date:
Date:
Date:
FARMERS NEXT GENERATION HOMEOWNERS —POLICY ...:DfaMWE
MID-CENTURY INSURANCE COMPANY, LOS ANGELES, CALIFORNIA RMINEOPFAWR
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1012 CALIFORNIA NOTICE OF INFORMATION PRACTICES
50 PLUS, NON SNORER, LOCAL BURGLAR ALARM, EXPERIENCE RATING V—,
INSPECTION, AND HOME SAFETY DISCOUNTS HAVE BEEN APPLIED TO YOUR POLICY.
applicable to each covered loss:
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This Dedaeatious Page is part of your policy. ft supersedes andcontrols
anything to theconixzry. It is otherwise subject to all other terms of the policy.
AGENT: FORTTTNE G. SMITH
AGENTPNONE: (800) 616-6311 AGENTNUMRER: 30 02 334
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PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: May 13, 2013
SUBJECT: Encroachment Permit Application for: 4201 Cyclone Dr
Name of Applicant: Bal Mohan Singh & Roop Kaur
Description of Encroachment: Existing 4' high wrought iron fence in front
of the house behind the sidewalk and side
of house.
Please review the attached encroachment permit and return to me at your earliest convenience.
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5:WERMIMENCROACHITRAFFICW201 Cyclone Dr.doc
B _-4 I-: E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: May 13, 2013
SUBJECT: Encroachment Permit Application for: 4201 Cyclone Dr
Name of Applicant: Bal Mohan Singh & Roop Kaur
Description of Encroachment: Existing 4' high wrought iron fence in front
of the house behind the sidewalk and side
of house.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
Cyclone Dr doc