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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 -------------- ------------------------ 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 .. .. — ___.---- ___,:......r si �, hi. —n r t and 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: ^•-^-- -—'-'--'-' 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 NIA IMantleloryE NH) 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.