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