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Home My WebLink About3008 AGNEW MEADOWS DRsax ENCROACHMENT PERMIT CITY OF BAKERSFIELD U o PUBLIC WORKS DEPARTMENT �, 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO (661)326-3724 TO THE CITY ENGINEER OF THE CIN 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 . . . . . 13-30000049 Data 7/15/13 Property Address 3008 AGNEW MEADOWS DR Application type description PW - ENCROACHMENT PERMIT Owner Contractor THING MOHAN SINGH APARANJIT N OWNER 516 S UNION AV BAKERSFIELD CA 93307 ----------------------------------------------- ___ Permit ENCROACHMENT PERMIT Additional dear . . Phone Access Code 1348358 Permit Fee . . . 208.00 Issue Date . . . . 7/15/13 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHNGNT 208.00 -------------------------------------------------------- Special Notes and Comments July 15, 2013 3:03:29 PM amanderhal. Existing 4' concrete block and wrought iron fence at back of sidewalk. Contact person: Mohan Singh Thind 661-310-0247 ---------------------------------------- Fee summary Charged Paid Credited Doe __________________ ------ ____ Permit Fee Total 208.00 206.00 .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. �'� Signature of Ap ant (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)E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFOR (GRANT (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back B A K E R 5 F t E L D Public Works Deparbnent 1501 Truxtun Avenue Bakersfield, California 93301 (6131) 326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 To the City Engineer of the City of Bakersfield, California: Pursuant to the provis'wns 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. ohart 3CC,Fy n a/ meoja •s 9CW,9_ QkeP*�� +4 �3 S) sGt 31m—o2�1� 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...) `i P -UJ U— l)� t f I Yy ee c. 3. Locationof proposed encroachment: (Example: Side 4, Period of time for which the encroachment is to be 5. 1s properly part of a Homeowner's Association beck of sidewalk or front yard at back of sidewalk) 1: Qndeffnit or other (Please Circle) Yes Na 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 judidal 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 where the same is located, and restored said public property or right of way to the condition as was before the biacinp. 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 types) and amount(s) of insurance coverage is: Applicant apknowledgas the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any lime. e tE�crPacOmentPetmI13W PPtbeXontPrEnooacM1ment B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 . (661)326-3724 TO WHOM IT MAY We the undersioned, have no objection to the construction of a fence beside the sidewalk within the public right -of -Way. A�nrc a�c�lo �J-ryv� iS,r' � or proposcencroachment)' Qt '3ea Qjhfir/✓t�1a nL (Address or proposed encroachment) SIGNED I)Name- Address_.�l PV1l5aJ 2.) Name: C Com. Address: 2,or ft°INEu.� Mo�ea� '1.) Name: Acciess: -L tjtA a) NAMe Address.S 5 ) Name'. Address: 6.) Name: lip" MAW - 'v' Address: o i9_gz, BY: OYk'l S( (Uwners amt Date: —7-19"t Date: `S' I Date 5-- 1 Date: /� S Date. Date. On— Continuation Declarations HOMESAVER POLICY Named Insured MOHAN TRIED 516 5 UNION Avg BAKERSFIELD CA 93307-3606 Your Policy Number: 933014644 663 1 Your Account Number: 933014644 Amok TRAVELERSJJ Your Agency's Name and Address CA NEW GENERATION INS 3117 19TH ST' BAKERSFIELD CA 93301 .For Policy Service Call: (661) 327-1000 For Claim Service Call: 1-800-CLAIM33 Yt Ft Tk W1 c( C( Policy Period Location of Residence Premises FROM: 04-02-13 To: 04-02-14 12:01 A.M. 3008 AGNEW MEADOWS DR STANDARD TIME AT THE RESIDENCE PREMISES BAKERSFIELD, CA 933135728 E Section I - Property Coverages Limits of Premium Liability T t i A - Dwelling $ 355,500 $ 597.00 B - Other Structures 35,550 INCL P C.- Household Furnishings 2,000 INCL F D - Lose of Use 35,550 INCL i Section II - Liability Coverages ) E - Premises Liability $ 300,000 $ 13.00 F - Medical Payments 1,000 INCL Policy Forms and Endorsements HS 663 09 99 Rental Dwelling Form HS 01 04 08 09 Special Provisions - California HS 04 16 09 99 Premises Alarm Or Fire Protection System HS 60 91 07 02 Limited Fungi, Other Microbes $ 5,000 or Rot Remediation HS 04 95 12 08 Water Back Up And Sump Overflow $ 75.00 Total Premium $ 685..00 Your Premium Reflects the Following Credits or State Surcharges Premises Alarm Syatem-Fire 5.0% Policy Deductible: $ 1,000.00 All perils insured against In case of loss under section I, only that part of the load over the stated deductible is covered. TO: FROM: DATE: SUBJECT: B A h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer II Bob Wilson, Supervisor II, Subdivisions August 1, 2013 Encroachment Permit Application for: 3008 Agnew Meadows Dr Name of Applicant: Mohan & Paramlit Thind Description of Encroachment: Existing 4' high concrete block and wrought iron fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 09)1,1013 & PERMITSENCROACMTRAFFIV3008 Agnew Meadows Dr.Joc • BAK ERSFIRL D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 1, 2013 SUBJECT: Encroachment Permit Application for: 3008 Agnew Meadows Dr Name of Applicant: Mohan & Paramjit Thind Description of Encroachment: Existing 4' high concrete block and wrought iron fence at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANCE\3008 Agnew Meadows Dr.doc