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Home My WebLink About5802 ARC DOME AVEENCROACHMENT 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 . . . . . 13-30000045 Date 6/25/13 Property Address 5802 ARC DOME AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor BONAS GARY LEONARD OWNER 5802 ARC DOME AV BAKERSFIELD CA 93313 ------------------------------ ______________________________________________ Permit . . . ENCROACHMENT PERMIT Additional dean . . Phone Access Cade . 1341700 permit Fee . . . . 208.00 Issue Date . . . . 6/25/13 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ---- -. .. Special Notes and Coments Up to a 3' High concrete block with dirt back filled to level yard with a wood fence up to 6' at the highest point on side yard behind sidewalk. Will be. tapering down from 3' to 0' from side of house to front of house behind sidewalk. ---------------------------------------------------------------------------- Fee -- a ary Charged Paid Credited u_________ __________ __________ __________ __________ 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. 'L---` i GARS l lAs Sfgnat 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTED (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back 3-- a000CvyS B A I< E R S F I E L 13 Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (651) 326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 To the City Engineer of the City of Bakersfield, California: Pursuantto 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: GPgR`i PS .� RV -c- me �y'l; (oto t-2.04'8794 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, eta.,) - I r -,..- D. yr.. r ,.1+'-r'u vet n A- " r(Uu'N 'ro Lcyai_ As -t1 G%tH Wm> trt,"cc, SN r•, .. ,�� 3. Location of proposed encroachment: (Example: Side yard at hack of sidewalk or front yard at back of sidewalk) 4. Period of time for which the encroachment is to bemaintain : Indefinite r Other. se 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 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 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 farce 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 acknowledges the rightof the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at anytime. 5a ncroachmentPermilsApplicationforEncroachmenl z B A D Public Works Department 1501 Truxtun Avenue Bakersleld, California 93301 (561) 326-3724 TO WHOM IT IMA`f CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the Public right -of -wavy. n (Stasi C Rct1r t l fl(` BY_ l7 �iK' �ONRj for proposztl <nu oachmenD (Owners Name) (Address or proposed encroaehmonr) SIGNED: 1.) Name: fc:k/k Address; 2) Name: Address: jiLl6 1 ✓e,4t- 3.) Name: Pt-�1vcp� ,v c\ aA,2d 0 Address: fe7o,t 2�pT R,�W s- 4.) Name: Address:.= 5.) Name: 1 2.. C Address: G� L 6.) Name: �31rn, Address: p 1 - ✓ Date: h( –2w–ll Date: !I -ZZ-(( Date: i( -?i -i1 Date: //- 2z 'rY Date: Date:11=22 // Fax Server 6/25/2013 4:21:30 PM PAGE 4/011 Fax Server Interinsurance Exchenge of the Automobile Club 9 Members' Homeowners Policy coverages and Limits Renewal Declarations - Form 3 We are pleased to offer you a renewal for your homeowners insurance policy. To renew, your policy. send at least the minimum .payment on or before the due date. Insurance Is In affect only for the eevaragss and limits of liability shown on this declaration page antl as eat faith In the Insurance Policy and endowments. Thew declarations, together with the contract and the endorsements In of complete your policy. SOMAS, GARY WARCDDMEAVE, 9AI(ERRRELD CA 033134035 THIS POLICY Is EFFECTIVE FROM: 11458012 12:01 A,M. TO: 11-0 2013 12:01 A.M. K4J Pan I Peaparfy 00yous ra s Description Multi Policy Roof Type Fire Alarm single story Loyalty 5 yrs Deductible Limits Dwelling Coverage A. Vas $255.000 Other Struduree Coverage Yea $25,500 Unscheduled Personal Propaily Coverage C Yes $191,250 Loss of Use Other Covaragn 1. (20% of the amount of Cmnrago A) No Building Code Upgrade Other Covaregso S. (10% of the amount of Coverage A) Yes The limit of liability for this structure (Coverega A) Is baud on an estimate of the cost to rebuild your home, Including an approximate coat for labor and materials in your area, and spealhc information that you have provided about your home. - A deductlbla of 51,000 will apply as indicated. Pan I limits have bean Increased using an Inflation factor. pan 0 Llabilky coyarmas Description Limits Personal Liability Covempe 0(Bodily Injury and Property Damage) - Each Occurrence $30D,000 (Personal Injury) In the Aggregate Medical Payments to Others Coverage E • Each Parson $1.000 Description Workers' Compensation Coverage F'- Statutory Employers' Liability Coverage G (per Conditions Pad IV Provision 3) Reeklence Employees • Outearvant(a) 00 1 Inaernnt(a) 00 MMIIM DWOU NTS APPUEDTO YOUR POLICY Multi Policy Roof Type Fire Alarm single story Loyalty 5 yrs Pia31MM 5I2,110ARY LawLlablllw Bala CaersOae Discounts 51,010 - 5440 + Additional Cowrogw Mabel RBBIthim Endowments Payments Employees .525 4 + ♦ • CIOA TOTAL Assessment PREMIUM $067 • If yyoau ¢hoes to pay Iwo man the Nil balance outstanding, a $6 fee will apply to each Installment billed, as Boated In your bllling statements, which are part of thea declarations. THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE. la PROCESS DATE: MM2012 (BEE REVERSE) ��//��""'' PLE49B KEEP WITH YOUR POLICY B _1 I-;: E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: June 28, 2013 SUBJECT: Encroachment Permit Application for: 5802 Arc Dome Ave Name of Applicant: Gary Boras Description of Encroachment: Up to a 3' high concrete block wall with dirt back filled to level yard with a wood fence up to 6' at the highest point on side yard behind sidewalk. YOU be tapering down from 3' to O' from side of house to front of house behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. &WERMITMENCROACHTRAFFIC\5802 Arc Dame Me.doc • B A 1-� E R S F I E L I) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Managers 'x ,I FROM: Bob Wilson, Supervisor II, Suubddi�visioonns DATE: June 28, 2013 SUBJECT: Encroachment Permit Application for: 5802 Arc Dome Ave Name of Applicant: Gary Bones Description of Encroachment: Up to a 3' high concrete block wall with dirt back filled to level yard with a wood fence up to 6' at the highest point on side yard behind sidewalk. Will be tapering down from 3' to 0' from side of house to front of house behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:WERMITS\ENCROACH\INSURANCE%5802 Arc Dome Ave.doc aeN,;w� �.aes J J z Q $ V o Q v p a Z LQ v z 0 0 -M(" 1 i I I O 1 Eok Q Eok Q t.x W 8£a U