Loading...
HomeMy WebLinkAbout3000 AGNEW MEADOWS DRENCROACHMENT 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 13-30000058 Date 8/06/13 Property Address 3000 AGNEW MEADOWS DR AppliCation type description PW - ENCROACHMENT PERMIT Owner Contractor --------------- ----------------------- HARTANTO ARLENE OWNER 3000 AGNEW MEADOWS DR BAKERSFIELD CA 93313 ____________________________________________________________________________ PermiC . . . ENCROACHMENT PERMIT Additional deet . . Phone Aeeess Code 1356270 Pesmit Fee 200.00 issue bate . . . . 8/06/13 Valuation 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208_00 ____________________________________________________.______-___- Special Notes and Comments August 6, 2013 0:30:45 AM mmendenhal. Existing 4' high concrete and wrought it.. fence at back of sidewalk.Contact person: Arlene Hartanto 661-735-5247 ----------------- Fee summary Charged Paid Credited __________ __________ Due ------ .-------- __ __________ __________ Permit Fee Total 200.00 208.00 .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 ny ti e "oENE D. iwq''Y'-r o 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) CQUSnTUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE RANTED ) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back _2. B A ZC E R 5 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 12.2Q 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. W1,0k }�.pRTh117o 3oUD "N" MI AwwS DR SIEIA QA" 93313 n 2. Nature or description of the encroachment for which this application is made: (Exe ple: Wood or wroa9ht iron fence, concrete block wall, raised planter, etc...) ( RM h&K fi10 �. vv0.11 W�tth wiwD�,(n+t- 1_ m� fpm q rn�1 yWj e,m'ita+f brach uulA t+) 49 hack 3. Location of proposed encroachrrrent (Example: Side yard at back of sidewalk or front yard at back of sidewalk) -karn uwA cr kn,L � 51i;1J UwIA (61) + si&tn) bac' VP/-( C. Period of time for which the encroachment is to be maintaine lndeffnite or Other. eassccce��/�Circle) 5, is properly part of a Homeowner's Association Yes 7Z 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, quasHudiclal, 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 oubf c property or right of way where the same is located, and restored said public properly 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 amount(s) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to 6akersfleld Municipal Code Chapter 12.20 to revoke the permit at any time. 5-rEncroacnmentpe�mitsyippiroationforE,uroachment • S F I E L D Pubifo Works Department 1501 Truxwn Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM IT MAY CONCERN: We the undemioned, have no objection to the construction of a fence beside the sidewalk within the public right-ofway. /k,rut�v u1�7-Daws (Sr�ei for proposed enmoacbme^U hers 7Jzme) np yau➢ P FiN -2U M�'A-DaVIS �Qz Vhr„�o- ' '� � � .2Ui (Address of proposetl ener0achmmuj ♦.L. y.a.. 4.) Name: Address: 5)Name: �C 6.) Name. Dat Date: Date: 27 � 3 Date: -7 —c> L( —'-j AftMercury Casualty Company Poucr PeRloo Policy 9020 Ho 13280204 SUPERIOR HONIEONNER DECLARATIONS 5.2 01/25/2013 NAMED INSURED: ARLENE.D HARTANTO AS HER SOLE AND SEPARATE PROPERTY MAILED To. PRODUCER: ARLENE D HARTANTO SHEPARD INSURANCE AGENCY 4870 13 3000 AGNEW MEADOWS DRIVE 28005 N. SMYTH DRIVE, SUITE 140 BAKERSFIELD CA 93313 VALENCIA CA 91355 TELEPHONE: (661) 295-4624 DATE MAILED: 09/13/2012 PAGE 1. OF 1 PROPERTY LOCATION: 3000 AGNEW MEADOWS DRIVE VGATE PREMIUM PROPERTY PREMIUMS OSS BAKERSFIELD CA 93313 655 BUILDING CODE. COSTS- FIRST MORTGAGEE: INCLUDED IN COVERAGEOPTIONAL SECOND MORTGAGEE: BPC HOME LOANS SERVICING LP ITS SUCCESSORS AND/ORASSIGNS AS THEIR .INTEREST MAY APPEAR INCREASE COTOTAL PO BOX 961206 TOTAL PREMIUM FORT WORTH TX 76161-0206 FNOO RSEMENT5 S-10 04/2007 4386FUNS P-56HO IMPORTANT INFORMATION EFFECTIVE 09/07/2012 This amended policy declarations page replaces all declarations with the same or prior effective date. Reason(s) Amended: CHANGE OF RATING INFORMATION Your Notice of Premium Due is enclosed. Any premium due and the due date are indicated on the billing portion of the statement. NEWER HOME CREDIT OF 4%, INCREASED DEDUCTIBLE CREDIT & RENEWAL CREDIT OF 57 APPLIES. DOG LIABILITY EXCLUSION APPLIES. MULTI -POLICY CREDIT OF 157 APPLIES. THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE. LOAN K 229367247 SECTION 11 COVERAGES LIMIT OF LIABILITY AE SECTION COVERAGES DEDUCTIBLE. 5 500 LIMIT OF LIABILITY - a. DWELLING 111-1 rc 111-1 5 405, 00 E. PERSONAL LIARIIII B. OTHER STRUCTURES 5 81,000 EACH OCCURRENCE 5 300,000 C. UNSCHEDULED PERSONAL PROPERTY 5 303, 50 F. MED PAY EACH PERSON S 2,500 LOSS OF USE 5 202^.,,...,.. PAY EACH OCCURRENCE ,,.�...,n., ,i rn�rceo wt nc cocH OPTIONAL COVERAGEgor VGATE PREMIUM PROPERTY PREMIUMS OSS BASIC 655 BUILDING CODE. COSTS- INCLUDED INCLUDED IN COVERAGEOPTIONAL INCREASE COTOTAL TOTAL PREMIUM FNOO RSEMENT5 S-10 04/2007 4386FUNS P-56HO IMPORTANT INFORMATION EFFECTIVE 09/07/2012 This amended policy declarations page replaces all declarations with the same or prior effective date. Reason(s) Amended: CHANGE OF RATING INFORMATION Your Notice of Premium Due is enclosed. Any premium due and the due date are indicated on the billing portion of the statement. NEWER HOME CREDIT OF 4%, INCREASED DEDUCTIBLE CREDIT & RENEWAL CREDIT OF 57 APPLIES. DOG LIABILITY EXCLUSION APPLIES. MULTI -POLICY CREDIT OF 157 APPLIES. THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE. 1'-4 HO 08/2005 INSURED COPY • B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 19, 2013 SUBJECT: Encroachment Permit Application for: 3000 Agnew Meadows Dr Name of Applicant: Arlene Hartanto Description of Encroachment: Existing 4' high concrete and wrought iron fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S:TERMITS\ENCROACH\TRAFFIC\3000 Agnew Meadows Or.doc • B A Iv F R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 19, 2013 SUBJECT: Encroachment Permit Application for: 3000 Agnew Meadows Dr Name of Applicant: Arlene Hartanto Description of Encroachment Existing 4' concrete 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\3000 Agnew Meadows Dr roc