HomeMy WebLinkAbout900 24TH STTO 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 . . . . . 13-30000072 Date
ENCROACHMENT PERMIT
F®B oN,�Rs
Application type description PW - ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
owner Contractor
--------------
d
PUBLIC WORKS DEPARTMENT
P 0 BOX 3106
BARERSFIELD CA 93302
1501 TRUXTUN AVE
Pe.it . . . ENCROACHMENT PERMIT
BAKERSFIELD CA 93301
I 0
(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 . . . . . 13-30000072 Date
10/08/13
Property Addreee 900 24TH ST
Application type description PW - ENCROACHMENT PERMIT
owner Contractor
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------------------------
CAROSELLA THOMAS OWNER
P 0 BOX 3106
BARERSFIELD CA 93302
Pe.it . . . ENCROACHMENT PERMIT
Additional deet . .
Phone Access Code 1381615
Permit Fee 208.00
Issue Date . . . 10/08/13 Valuation
o
Qty Unit Charge Per
Fxtension
1.00 208.0000 EA PN ENCROACHMENT
208.00
__________________________________________________________________
Special Note. and Commente
October 8, 2013 11:03:48 AM mmenderhal,
Place 6' high wrought iron fence
approximately 6 from back of sidewalk
along 24th and O Street.. Contact
person: Tom Carosella 661-631-2602
_________________________________
_____
Fee . ummary Charged Paid Credited
Due
Peamit Fee Total 208.00 208.00 .00
.00
Grand Total 208.00 208.00 .OD
.00
_Applic2ht acknowleddes the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
re�vdalhe permit at any time. - Al, `�fte�
E
I� C,�C/lf lTL
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) CON UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE GRANTE (DENIED) Said permit shall expire on date stated above.
Signature ofdy Engineer `
Additional Terms on the Back
1 3 �300a00-7l-
B A K E R S F Z 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 12.26 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.
1. Full name of applicant and complete address cluding ph a number f— f0—n 640SCL
INI2 j�+(Sf S�1+C HI2Islc/� Ci(4?3�1 (scat �v31 al�o2
2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron
fence, concrete block wall, raised planter, etc..)
�fAuk t An, tw.� �I
nt Oix _dm S�Q/
3. Location of proposed encroachment (Example: Side Yard at back of sidewalk or front yard at back of sidewalk)
i JA 2q Si 611tA V J iJ _
4. Period of time for which the'ancroachment is to be maintain :` Indefinipte ase CirciOther.
5. Is property part of a Homeowner's Association Yes X__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, quasHudicial, or judictal tribunals of any kind whatsoever, arising out
of, connected with, or caused by applicant's placement, erection, use (by applicant or any other person of 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 permfl for which this
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nearly as that in which it was before the placing, erection, maintenance or
if granted or
property or right of way to the condition as
itence 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 types) andamount(s) of insurance coverage is:
Appticant acknowledges the right of the City Engineer, pursuant to Bakers5eld Municipal Code Chapter 12.20 to revoke the Permit at
anytime.
S aErcroecMr,antPe,m im W pplkatioMorE ncrca W ne n I
B A X E R S F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfeid, California 83301
(661)326-3724
TO WHOM IT MAY CONCERN
We the undersigned, have no objection to the construction of a fence beside the sidewalk within tre
public fight -of -w y
2 1 SSTIF By:
(Straw for proposod arero chmenl) v"'
r ame
q�D 2 (f S -f phnn.. l�� I - G3
(Address of proposed encroachmem)
SIGNED:
1)Name:
Address:
2)Name:
Address:
3.) Name:
Address:
4.) Name:
Address:
5) Name.
Address.
6.) Name:
Address:
Date: �-2 5-13
9 2-) 3
Date:
Date ` ^ 2 3^ `r!f
Date: f
Date:
ERIMIDDN
YY
CERTIFICATE OF LIABILITY INSURANCE DA 10108//3 10/08/13 I
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
IMYUKIAN I: IT me certmww umw, m=...•............_... .. -.
the terms and conditions of the policy, certain policies may require an. endorsement A statement on this certificate does not confer rights ro the
INSURED
Mateo Fax:
P.O. Box 387
Bakersfield, CA 93302
COVERAGES CERTIFICATE NUM M,K:
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LISTED BELOW HAVE BEEN ISSUED TO THE INSURED
NAMED ABOVE FOR THE POLICY PERIOD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE
CONDITION OF MY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR
INSURANCE AFFORDED BY THE POLICIES. DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE
AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
EXCLUSIONS
DD S 9 POLICYEFF PMICYEXP
LIMITS
TYPE OF INSURANCE PO ICY R (ME no=
OF
1,006,00
GENERALUMILITT
EACH OCCURRENCE S
100.00
X CBP2006460 11/24112 11124113
PREMISES Eeemo nee S
A X COMMERCUTGENERALLNBILRT
5.66
MEN EXP (MY w, a Pvnen) $
CLAIMS -MAGE O OCCUR
1,066,66
PERSONAL S AOV INJURY 4
GENERALAGGREGATE 5 2,060,D6
PRODUCTS -COMM AEG. $ 2.000,06
GEN'L AGGREGATE LIMn APPLIES PER:
S
PRO-
POLICY LOC
MBIN IN LEL
AUTOMOBILE LIANUTY
Eaaccidanl $
ROOLLTINJURY (Per person) $
NYAM
ALL°WNEO SCHEDULED
AU_OWNE
BODILY INJURY (ParaaiEelrt) $
AUTOS AUTOS
PROPERTY DAMAGE r
NON OWNED
per amltlenl
HIRED AUTOS AUTOS
S
UMBRELIALIAa
OCCUR
EACH OCCURRENCE $
EXCESS LIAB
ClAIM9MADE
AGGREGATE $
S
OED RE N➢ONS
WCSTAN- OTH
ELEACH ACCIDENT $
ANDEMPSCOMPENSATON
ANOECFRIETRS'LIABHER yO
pNY
S
EL DISEASE-EOLICYI
EEEPEETORIPARTNERIEXECUTNE
OFFICERIMEMBER E%CLUOEOt
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p nOe
IT
EL DISEASE -POLICY LIMn S
El
0 GRIFFON OF OPERATIONS neI
EFUP
DESOWPT°NOFOPERATONSILOCAVONSIVEHICLES(AHach ACORDtot,Mdi;oal Remade Schetlule,llmxea0aceisrequlr )
"The City of Bakersfield, its mayor, council, employees, agents and
volunteers are named as additional insured with respect to the installation
of a rod iron fence at 900 24th at" pending endorsement fromthe carrier.
CITBAK7 I
SHOULD EXPI V 10 THEMOVEDESCRIBED N POLICIES DE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,. NOTICE WILL DE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Bakersfield
1600 Truxton Ave.
Bakersfield, CA 93301
ACORD 25 (2010105) The ACORD. name and logo are registered marks of ACORU
•
S A I: E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: October 22, 2013
SUBJECT: Encroachment Permit Application for: 900 20 Street
Name of Applicant: Thomas Carosella
Description of Encroachment: Place 6' high wrought iron fence
approximately 6" from back of sidewalk
along 24' Street and O Street.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:U'ERMITS\ENCROACHVNSUR NCEWD 24th SLdoc
•
I.: E R S F I E L U
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: October 22, 2013
SUBJECT: Encroachment Permit Application for: 900 24" Street
Name of Applicant: Thomas Carosella
Description of Encroachment: Place 6' high wrought iron fence
approximately 6" from back of sidewalk
along 24`" Street and O Street.
Please review the attached encroachment permit and return to me at your earliest convenience.
1U�2'J I2012i
S:WERMITS\ENCROACH\TRAFFIC\900 24th St.d.