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HomeMy WebLinkAbout7723 GENIVIEVE STENCROACHMENT 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 . . . . . 13-30000047 Date 7/08/13 Property Address 7723 GENIVIEVE ST Application type description PW - ENCROACF NT PERMIT Owner Contractor ------------------------ DAWSON ALBERT F & EUNEVA R OWNER 7723 GENIVIEVE ST BAREREFIELD CA 93307 ----- .---.-- Permit ENCROACHMENT PERMIT Additional dean . . Phone Access Code . 1345321 permit Fee . . . . 208.00 Issue Date . . . . 7/08/13 Valuation . . . . 0 Qty Unit Marge Per E%teR910R 1.00 208.0000 EA PW ENCROACHMENT 206.00 __._.________ __________________________ Special Notes and Comments July 8, 2013 9:37:04 AM mmendsnhal. Existing 4' high chain link fence at back of sidewalk. Contact person: Albert Dawson 661-303-6595 Fee mars Charged Paid Credited Dns 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. d1, 7 -1Cowl="c - IIaS i Signature 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) TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO (GRANTE (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back B A K E R S F 1 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 42.20 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. Fuil name of applicant and complete address including phone number -4C-40 C 6��+ ✓f� 7�3 5/- 66(/) fez tri 2. Nature 0. description ofthe encroachment for which this application is made: (Exam le: Wood or wrought iror fence, concrete block wall, raised planter, etc...) CffF17 A) G/>�L 6%-i 3. Location of proposed. encroachment: (Example; Side yard at back of sidewalk or front yard at back of sidewalk) 4. Period of time for which the encroachment is to be maintaine Indefinite or 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, orjudiclal 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 unfit 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 'ed, and restored said public property or right of way to the condition as 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 torevoke the permit at any time. S1EncreacM1mentPem+ilsV�pplioationforEneroacM1menl B A IC I R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 99301 (661)326.3724 TO WHOM IT IMAY CONCERN:. 'Ale the undersigned, have no objection to the Construction of a fence beside the Sidewalk within the pubiiC right-of-way. r/ 6gc'-!J< F7L,/�'L->`!Z,% f �iiG(�Su tJ (S�rvei for pro Gosetl encroachment) (�wn`ers kame) Cf 773 h -r CSL,) �d3; 9S— (Addressorproposed nt,o.d,me,,o 1.) Name'. Address. _�qJ-{fy gan �a ieve Sk 2.) Name: ( _/LA/?Lt5 Address: ,Z yg�dW.'aIQIE 67 - Name: Name: �j�U u?rf r Address: 2t�o��p(�i�.�,°�rrv. Kc G __ a) Name: Address: 5) Name: /rte) L ( QI✓�I (J���"r t ' l Address: �7:v f_ ,'/'r. 2✓f,:-.i 'i 7� 5) Name Address._-�{�Z Gfiv[--I,f�Si Date: R - 1 - Date 'F--/ Y3 Date: — 1� Data .-,,, . 7) 13 Date: 7-3-0 3 .Date: 4 6-r3 Hamed Insured: Dawson. Albert Homeowner Declaration Policy #: 1 -HOC -1-1501278 Declaration Type: Extension Effective: 02106/2013 Coverage Form — S Property Location: 7723 Genivieve St, Bakersfield. CA 9330` Description: Construction: Frame•, Year Built 2006; Temton, 55: Protection Class'. 5 Basic Coverage Limits and Premium Limit Premium A Dwelling $231,703 $788.00 B Other Structures 23,170 C Unscheduled Personal Property 162,192 D Additional Living Expense 46.341 E Personal Liability 300,000 25,00 F Medical Payments Each Person tooO Each Accident 25.M0 The limit of liability for this structure (Coverage A)is based on an estimate for the cost to rebuild your home, including an approximate cost for labor and materials in your area, and specific information that you have provided about your home As a Company, we will make property evaluations from information provided by you in assessing the value of your home. As mentioned in the statement above, it is an estimate of the cost to rebuild your home; however, your home may cost more to rebuild, It remainsyour sole responsibility to maintain a limit of liability for the described dwelling (Coverage A) that adequately corresponds to the amount it would cost to reconstruct your entire dwelling at current prices Optional Coverages & Mandatory Fees Extended Dwelling Replacement Cost Coverage (Up to 200% of Coverage A— Dwelling limit) 10.00 Contents Replacement Cost 79.00 Cal -Pak Coverage (Includes $23,170,.10% limit for Ordinance or Law Coverage) Included Identity Fraud Expense Coverage Included Worker's Compensation (Mandatory) Included Other Premium 5.00 Subtotal for Basic and Optional Coverages 907.00 Premium Credits and Surcharges 5500 Deductible Credit -95.00 Renewal Credit -35,00 New Home Credit -72.00 Century Age Credit -29.00 Total Premium Credits and Surcharges -231.00 Total Annual Premium $676.00 Annual Inflation Guard: 2 9, This policy contains a $500 Deductible. Processdate: 07105W3 TO: FROM: B h E R S F I E E D PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer II Bob Wilson, Supervisor II, Subdivisions DATE: August 1, 2013 SUBJECT: Encroachment Permit Application for: 7723 Genivieve St Name of Applicant: Albert & Euneva Dawson Description of Encroachment: Existing 4' high chain link fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 9/09/11-013 D� MOF S:TERMITMENCROACHXTRAFF107123 Genivieve St.doc Y .-k h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager 4 FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: August 1, 2013 SUBJECT: Encroachment Permit Application for: 7723 Genivieve St. Name of Applicant: Albert & Euneva Dawson Description of Encroachment: Existing 4' high chain link fence at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. 8:\PERMITSENCROACMINSURANCE\7723 Genmeve St doc