HomeMy WebLinkAbout2713 COVENTRY DRBAK
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
v d PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
CL FO (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 . . . . . 13-30000078 Date 11/22/13
Property Address 2713 COVENTRY DR
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
WEICHELT WALTER C JR S VALERIE OWNER
9624 CAMINOH ST
E RSFIELD CA 93307
----------------------------------------------------------------------------
Permit . . . ENCROACHMENT PERMIT
Additional desc . .
Phone ACCess Code . 1399435
Permit Fee . . . . 208.00
Tasue Date . . . . 11/22/13 valuation . . . . o
Qty Knit Charge Per Extension
1.00 208.0000 EA PW ENCROACHMENT 208.00
___________________________
Special Notes and Comments
Construct 6 f night block wall along
Coventry along sidewalk at E end of
property per attached plan approved by
Planning Dept.
Jarrod Endes
951-237-9742
November 22, 2013 1:35:47 PM jbaker.
----------------------------------------- .................................
Fee
________ _____________________________________________________--
Fee summary Charged Paid Credited Due
Pe mit Pee Total 208.00 208.00 AO 00
Applicant ages the right9otdhe CitAcEhyineer, pursuant to therBakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time.
Sig_Wffe of Applic rter 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) CONSIMHE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFOR GRANTED DENIED) Said permit shall expire on date stated above.
/r�
Signature of C Engin�eer
Additional Terms on the Back
BAxER ENCROACHMENT PERMIT
APPLICATION FORM
ro CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
C ® 1501 TRUXTUN AVE
LIFO 11 BAKERSFIELD CA 93301
(661)326-3724 Fax: (661) 852-2012
LOCATION OF ENCROACHMENT(Address required where available): L p%✓•5 t..b ue--Nr2Y Qozr,/c=
C4 7 370,; -
If
0,; -
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection.
APPLICANT INFORMATION
FULL NAME OF APPLICr�ANT 1,/4 -r6,-- 67,a,tzt We'CHc=4-f
Ilk -
COMPLETE `! 6 2 �f (.,¢/�7T,,,,4n, Si. PHONE:
94KcLy FTC�7 ��-Q ��.3d / FAX: c7
CELL: �,W- `M-- 61?
PROJECT INFORMATION
DESCRIPTIONOFENCROACHMENT (Example:/Wood or wrought iron fence, concrete block wall, raised
planter, etc.): l 6'YcgtiTB 9 [7C -F' l.�%A-' t- C RC P4�r�;yG+
PERIOD OF TIME FOR ENCROACHMENT: DEFINITE r OTHER:
(Please Circle)
CONTACT PERSON _.a 4l gS4 D J&2 r�„ryyJ C, PHONE:
Applicant agrees that ifthis 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, orjudicial 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 maintainthe 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
property or right of way where the same is located, and restore said public property 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 evidencing
the insurance required. The type(s) and amount(s) of insurance coverage required are:
Residences: Homeowners General Liability coverage in an amount of at least $300,000.00
Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00
'he Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated
volunteers as Additional Insureds.
Encroachment Permit Fee: $208.00
S:IPERMI95\tiNCROACH\Encroachment P=it Req FmmDOC Sept, 2013
--- - —IS L
B A K S R 6 F I E L D
Public Works Department
1501 Trugtun Avenue
Bakersfield, 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 the
public right -of ---way.
aY' TEi? �Ar -- IJG -Gt/FG
;Seem ooryproposa enc—=R nenl vmersJN/om>e / e
QC
(Address of proposed encroachment)
SIGNED:\
1.)Nome.
t—" at cin kcU
Date: ��'•a^i'��
Address:
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2.) Name:4
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Date:
Address:."A
3:) Name:Sh
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Address:
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4.) Name:
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Date:
Address:
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5.) Name:
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Date:
Address:.®r.
6.) Name:
Date:
Address:
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EVIDENCE OF PROPERTY INSURANCE 7111511
,.DAT Er a
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
ISSUING INSURERISI. AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE ADDITIONAL INTEREST.
AGENCY Lab®P„, Be
Sfateig, 1 Bill Thomas, Agent
8200 StDdcdale HMY., Suite M-3
• Bakersfield, CA 93311
INSURED
WEICHELT, WALTER G
2713 COVENTRY DRIVE
BAKERSFIELD, CA 93304
2713 COVENTRY DR, BAKERSFIELD CA 93304
(XAIPANY
Slate Farm Fire and CaI Company
NAN;N 25143
90-BSJ463-7
EFFECTIVE DATE EMXMTNIN MTE
T�l 60MINUEDUNTIL
05/19/2013 05119/2014 TERMINATED IF CHECNM)
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COYERAGEI PERIISIFpiM$
AMWMTDFIH$UMNLE
DFWL11lE
Coverage information
A -DWELLING
149,400
1,000
DWELL EXT
14,940
B -PERS PROP
7,470
LIABILITY
300,000
M-MEDIPERBN
1,000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
MGRTOAtgE a ADDRIW1L114S.)RED
IOSS PAYEE
The ACORD name and logo are registered marks of ACORD
1004383 142988.1 01-28-2013
CORRECTION NOTICE
CITY OF BAKERSFIELD
BUILDING DEPARTMENT
1715 CHESTER AVENUE
(661) 326-3720 /
Location:,_ -1 k3 (n')
You are hereby required to take the fallowing action at the above location-
❑CORRECT & CALL FOR REINSPECTION ❑CORRECT & PROCEED
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Completion Date for Corrections: _/_�
Received by:
Inspector; Ed
die res Initial;
Desk Phone: (669/ 326-3755 Date:
(from 8:00am to 8:30am)
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B _1 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: November 22, 2013
SUBJECT: Encroachment Permit Application for: 2713 Coventry Dr.
Name of Applicant. Walter & Valerie Weichelt
Description of Encroachment Construct 6' high block wall along Coventry
along sidewalk at East end of property per
attached plan approved by Planning Dept.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:V ERMITSIENCROACH\INSURANCEV713 Coventry Dr w
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:
November 22, 2013
SUBJECT:
Encroachment Permit Application for:
2713 Coventry Dr.
Name of Applicant:
Walter & Valerie Weichelt
Description of Encroachment.
Construct 6' high block wall along Coventry
along sidewalk at East end of property per
attached plan approved by Planning Dept.
Please review the attached encroachment permit and return to me at your earliest convenience.
- A013
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