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Home My WebLink About4605 KENNYSTBAKg ENCROACHMENT PERMIT oGFmruo.,.,e J' e3 CITY OF BAKERSFIELD ey PUBLIC WORKS DEPARTMENT � 1501 TRUXTUN AVE �+a9 BAKERSFIELD CA 93301 c9LIF0 (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 . . . . . 13-30000040 Data 6/06/13 Property Address 4605 KENNY ST Application type description PN - ENCROACHMENT PERMIT O.r Contractor COLBERT JMES N OWNER 4605 KENNY ST BAENRSFIELD CA 93307 ---------------------------------------------------------------------------- Pe rmit ENCROACHMENT REKNIT Additional dean . Phone Access Code . 1334283.0 Permit Fee . . . . .00 Issue Date 6/06/13 Valuation 0 Special Notes and comments 6' High wood fence on the side of yard behind face of house. ____ ___________________________ _, Peesummary Charged Paid credited Due _______________ __________ __________ __________ __________ Permit Fee Total $206 .00 $20.3 .00 .00 .00 Grand Total .00 .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. ria r' of Applicant (Owner/Agent) L- ri N,iune 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) CONS TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORENTE (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back 8 A K E R S F I E L ED Public Works Department 1501 Truidup Avenue Bakersfield, California 93301 (661) 326-3726 APPLICATION FOR ENCROACHMENT PERMIT 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. /�, 111011 Full name of applicant and complete address including phone number. :,A P 4 " / j^ r -.R r 10Nature or description of the encroachment) for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, et ...) �, 00 Location of proposed encroachment (Example: Side yard a tow* crldN!alk 6f front yard at back of sidewalk) 4 Penod of tirlhe for which the encroachment is to be maintaine&;rr.€ ee or Other. (Please Circle) 5. Is property part of a Homeowner's Association as 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, quasiyudicial, 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 of 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 amounts) 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'+EncroachmentPe'miUtSpplicatbnhrEneroachmenl • --w- D 6 A 7< E R 5 F I E L D Public works Department 1501 TruX n Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM IT MAY CONCERN: We the undeslgned, have no objection to the construction Of a fence beside the sidewalk within the Public righ FOLwai S,rteior proposctl enrroachmenl) (Address orproposetl cncroad,menr) SIGNED: i) Name: Ax, 6 /r_ Address: By: wnersName) 3.) Name: Address �) Name: Address: 4) Name: Address. 5) Nam6: Address: 5.) Name'. :j Address- Date: -dI I i Date'. S'-V-/,� Date: '>— et ) � Date "3 Date: 1, Date: %) Jun. 6. 2013 12:13PM ALL STATE INSURANCE No. 1753 P. I ALLSTATE INSURANCE COMPANY CALIFORNIA HOMEOWNERS Home Office Calendar Date: 06/06/2013 Northbrook, IL policy Number: 904869000 B / 22 Insured JAMES w. COLEERT Address 4605 KENNY STREET City : BAKERSFIELD St.: CA 'Zip Code: 93307 Home Phone No.: 909 - 596 - 3370 ADD/CHANGE SECTION AND II COVERAGES LIMITS Family Liability Protection - each. occurrence $300000 Guest Medical Protection - each person $1000 Conditions respecting Hinder - Such insurance as may he hound by this service request: 1. is afforded in reliance by the Company on the statements made by the Insured; 2. shall be effective on the date, and at the time stated, but in no event sooner than such date and time 3, is subject to the terms, exclusions and conditions of the Company's policy form, and of the forme and endorsements approved for use with such policy; 4. is limited to a period of thirty (30) days, beginning with the effective date hereof and expires at 12:01 A.M. Standard Time with respect to the designated property insurance policy on the last day of such limited period; provided, however, that the Company may sooner terminate ouch insurance by mailing to the Insured, at the address stated, written notice of rejection of this Service Request. Rage 1 of 2 Jun. 6. 2013 12:13PM ALLSTATE INSURANCE No.1753 P. 2 More Office Northbrook, IL ALLSTATE INSURANCE COMPANY CALIFORNIA HOMEOWNERS Calandar Data: 06/06/2013 Policy Number: 904569000 S / 22 This request is. subject to policy terms and is effectiveonly if the policy noted above is currently in force. Effective 12 : 01 AM 06 / 07 / 2013 Policyholder's Signature Agenc's Signature SAR417-2 lAO691 501 (661)327-7761 PHONE Agent R Location Agent's Phone 4 Page 2 of 2 S A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II l FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: June 14, 2013 SUBJECT: Encroachment Permit Application for: 4605 Kenny St Name of Applicant: James Colbert Description of Encroachment: 6' high wood fence on the side of yard behind sidewalk and behind face of house. Please review the attached encroachment permit and return to me at your earliest convenience. S:TERMITSES NCROACMTRAFFICW605 Kenny St.doe TO: FROM: DATE: SUBJECT: P -A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM Jena Covey, Risk Manager ljX Bob Wilson, Supervisor Il, Subdivisions June 14, 2013 Encroachment Permit Application for: 4605 Kenny St Name of Applicant: James Colbert Description of Encroachment. 6' high wood fence on the side of yard behind sidewalk and behind face of house. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: TERMITS\ENCROACHUNSURANCEW605 Kenny Stdoo awYe7uwJ aaa-0S — — J J os U 2 S1 ll W J II S m I Q I F Zi awYe7uwJ aaa-0S — — J J os U 2 S1 ll W J