HomeMy WebLinkAbout2011 PINE ST.ENCROACHMENT 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 . . . 15-30000010 Data 3/25/15
Property Address 2011 PINE ST
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
WONG CHARLES D REV TRUST OWNER.
2011 PINE ST
BAKERSFIELD
CA 93301
Permit . .
ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code
1612621
Permic Fee . .
208.00
Issue Data . . .
3/25/1s Valuation . . . .
Qty Unit Charge Per
EASE FEE
---------------------------------------------
Special Notes and Comments
Place 44" high wrought iron fence along
back of sidewalk on both streets at
carver lot per drawing.
Charles Wong
---------------------------------------------
Fee 5 ary Charged Paid
_____1___________ __________ __________
Perm't Fee Total 208.00 205.00
Grand Total 208.00 208.00
Applicant acknow
revoke the permit
Signature of
Extension
208.00
---------------------------
Credited Due
--------- ----------
.00 00
.00 00
of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to 'I
0
�YWent/ ) J 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE (GRANTED) (DENIED) S ' permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
t� s E R s r i E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer III
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: April 17, 2015
SUBJECT: Encroachment Permit Application for: 2011 Pine St
Name of Applicant: Charles Wong Trust
Description of Encroachment: Place 44' high wrought iron fence along
back of sidewalk on both streets at comer
lot per drawing.
Please review the attached encroachment permit and return to me at your earliest convenience.
Iva
15s ��6s
5:\PERMITS\ENCROACH\TRAFFICV011 Pine SLOoc
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager `.' /
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: April 17, 2015
SUBJECT: Encroachment Permit Application for: 2011 Pine St
Name of Applicant: Charles Wong Trust
Description of Encroachment. Place 44' high wrought iron fence along
back of sidewalk on both streets at corner
lot per drawing.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANCE\201 I Pine St doc
ENCROACHMENT PERMIT
APPLICATION FORM
CITY OF f3,AKER.SHELD
PUBI-W WORKS DF.P'.AR 1 MEET
1501 TRUXTUN .AVE:
BAKERSF ELD CA Q1101
(66))3=0-37'4 EOSaGfliA52-2012
LOC ATLON OF FNCROACHMENTI Address required where available)
If there is no address adjacent to work describe limits of work by distances front nearest Lxnauu, street intut,eehon.
APPLICANT INFORMATION
FULL
FULL. NAME OF APPLICa.N'PIg2L�S In t/x-10io
COMPLETF:ADDRESS:_ zek\ PI E S ___ PHGNE:, (n 61-ZCXy—�1+OG5,`i
1? ICCi1S�lr C� ,cit 97,3O k FAX: �'
CELL:
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wail. raised
planter, etc.}:, GE4,tia�—CS
PERIOD OF TIME FOR ENCROACHMENT IN---llV TF, rex OTHER:
//t� i- ' A_c(P ease Circle)
CONTACT PERSON L�4LUC-�> W`hYl PRONE: wnL -Zoxl—tC�q
Applicant agrees that if this application is granted, applicant shall indemnify, dofiand .. hold harmbethe C in iti
officers agents and employees against any and all liability, claims, actions. causes of action or demands. (whatsoever
against Them, or any of them, betbre administrative, quasi-judicial. or judicial tribunals of any kind whatsoever, arising cat
of, connected with, or caused by applicant's placement, erection, use (by applicant or any outer 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. A fi I ,n
Applicant further agrees that upon the expiration of the permit for which this application is made, ifgry5ntei erg�IPLy, he ;
revocation thereof by the City Engineer. aorilicant will at his own cost and expense remove the same from th public
nrooert,, or right of wav 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 Iiabdi(N insurance required by the City Engineer in full force and effect for
however Tong 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
fhe insurance required. The typeis) and amount(s) of insurance coverage required are:
Residences: Hameow»ers General Liability coverage in an amount of at least $306,000.00
Cornmercial: Commercial Liability coverage in an amount of at least $1,000,0(10.0(7
Encroachment Permit Fee: $208.00
S.1PGRhi C!'5�IiNCKOACH1Lncroachnnant PernrSx Reel Fong DOC Januin 2009
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E A K E R E F f E L D
Public Works Department
1501 Truxtun 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 tr.e
public rigm-o6way.
1�It- ST 1'W Si By, 1�'NLI- �JONIA
•Erect lor proposed croac mens wners Name)
oror 'LOt\'
(Address of proposed encroachment)
1.)Name. rWIA—//X/!t!/! W/r wr•_i
Date: /—"/S
Address: ! 7
2.) Name:
Date
Atldress: r"
rJ/
DamI S
3.) Name.
i
Address: o
4.) Name:
Date. + 15 I S
Address:
5.) Name:
Address:
5.) Name: { �-
Date:
Address:
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Homeowner's Policy Details Qf
A— send to printer
Policy No:
CH0075470800
Current Term 08/29/2014 -08/29/2015
PROPERTY INFORMATION
Location of Residence Premises
Package Type
COVERAGES AND LIMITS OF LIABILITY
Coverages
Property Coverages
Dwelling
Other Structures
Unscheduled Personal Property
Loss of Use
close window
2011 Pine St
Bakersfield, CA 93301
AAA YourHome Advantage
Limits of Liability Deductible*
$300,000
Yes
$30,800
Yes
$231,000
Yes
$61,600
Yes
2369
*A deductible of $1,000 will apply as indicated.
Liability Coverages
Personal Liability $500,000 Each Occurrence
Medical Payments to Others $5,000 Each Person
_..
Total Premium ¢698
MORTGAGEE(S)/ OTHER INTERESTS
Name Loan Number Type
GREENTREE SERVICING LLC,ISAOA 68681840 Mortgagee
Po Box 979282
Miami, FL 33197
DISCOUNTS
Polity Discounts
Multi -Policy: , CEA
Other Discounts: Protective Device, Fire Protective Devices, Loyalty, Roof Type, One Story
ENDORSEMENTS AND CERTIFICATES
Number
Title
H0404
AAA YOURHOME ADVANTAGE
H048
ADDITIONAL LIMIT ON OTHER STRUCTURES
H0216
ALARM OR FIR£ PROTECTION SYSTEM
2369
AMENDATORY ENDORSEMENT
2395
AMENDATORY ENDORSEMENT
438BFU
LENDERS LOSS PAYABLE ENDORSEMENT
The Information displayed on this w✓hslce is for 40 ---neral anhrliosec holy am Is at Intended la ,eanlaeu vour anal[, (InI any em.wereen[s) and
deoaranons that are malted 1. yna n
a aureate Is in effect only for the coverages and smes of liability shown on the dederanm
ors and as set nh In the
Insurance policy end endorsements.
ThIs therma6on is a helpful summary only and (a not a comprehensive definition of all mve2ges, Pacification, limltatbns, etc Please conwlt the policy and
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