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HomeMy WebLinkAbout1219 CATES STBAK ENCROACHMENT PERMIT -� en CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT .�, 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO (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 . . . . . 14-30000026 Date 4/07/14 Property Address 1219 CAPES ST Application type description PH - ENCROACHN[ENT PERMIT Owner Contractor SINGH AMRIK OWNER 1219 CATES ST ➢AKERSFIELD CA 93307 P2 nni£NCRtlACHMENT PERMIT Additional desc . Phone Access Code . 1951715 Fee . . . 208.00 Issue Issue Date 4/07/14 Valuation Qty Unit Charge Per Extension BASE FEE 208.00 Special Notes and Comments. April 7, 2014 9:05:16 AM pearigaez. Existing 4' high wrought iron fence around front yard behind Sidewalk. contact Amrik Singh (661) 832-9315 --------------------------------------------------------------------------- PCredited nary charged Paid -------- Dus --- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applican acknowledges the right of th ity Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revpke'th ,permit at any time. Al Signatu f Applicant (OwnertAgT5i t),) 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) CQNSMTL-TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTED DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back of B^ QRS, ENCROACHMENT PERMII'T lq- 3 APPLICATION FORM CITY OFBAKERSFIELD �3 PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE Glb'ORN BAKERSFIELD CA 93301 (661)326-3724 Fax: (661) 952-2012 LOCATION OF ENCROACHMENT(Address required where available) If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME. OF COMPLETE ADD: planter, etc.): PHONE: FAX: CELL: PROJECT INFORMATION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall; raised �, pPERIOD�OF TIIME FOR ENCROACHMENT:E �NDEFIN or OTHER: �."�Utt C1tXERSON Ui /y I <Pa clej PHONE: Applicant agrees tlYat 'this application is granted, applicant shallindemnify, 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, 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. further agrees that upon the expiration of the permit fon-which this application is made, if granted or upon the property or right of way where thesame is located, and restore said public property or rightot way to the conanion 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 theencroachment remains. Applicant: shall furnish the City Risk Manager with a Certificate of Insurance evidencing sufficient coverage for bodily injury or property damage liabilityor both and required endorsements evidencing the insurance required. The type(s) and amount(s) of insurancecoverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of al least $1,000,000.00 Encroachment Permit Fee: $200.00 SAPERM ITS,ENCROACH\Encroachment Permit Req Form.DOC January 2009 ---m. B? K E R S F 1 H L D Public Works Department 1501 Tniztun Avenue Bakersfield, California 93301 (661) 326-3729 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. tnL_ 11.7 ('trat or propose encroac nnenq 6 c, aame or Rhoric (Address of pr000sed encroachment) SIGNED 1.) Name: (.>r- 76rGr.��.>'e, Data Address: /3�S- Pr,/�,fprf /?TiLvoS ei av ',_2.)Name: cif Dl, ra Dirt'.. Date' LdU-I1 LI _ Address 7(�]7v e s i 3,) Name Mll l jj1c 4 /a fl P`L Date' Address 12(/ h 4.) Name: Date: `-(I 61� Address: � t 1 ICY' �,k}KA 5 5.) Name "��"I� �CC,vr I' Date:(;. `V! 'll Address: a=�L) -1, 17 T— I`1 /' 6.) Name: p" Date: QUI ' Address!rs T Nationwide" On Your Side" NATIONWIDE INS CO OF AMERICA 1100 LOCUST ST DES MOINES IA 50391-1100 (888) 821-0119 AGENCY Jhamat Insurance Agency STOCKTON CA CONTINUATION DECLARATIONS NAME INSURED AND ADDRESS SINGH, AMRIK KAUR,HARBANS 1219 CATESST BAKERSFIELD, CA 93307.7349 The limit of liabllity kr the nrumum Icmremge Al is based on the off" R of Ne cost to reeeiid your Homs, intluaing an apOmAmAO most 11 111.1 and ma nate nyour area, sol specific iii. n that ya v.. pmviomi a o.. your home. The described residence premises covered hereunder is located at the IPREVIOU: above. address? unless of HOMEOWNERS POLICY POLICY NUMBER: HNC 0028645493-3 ACCOUNT NUMBER: 7276996300 Policy Period From: 06-09-13 To: 06-09.14 Effective Date of Change TO BE PAID BY NAMED INSURED Not a bill. Your bill is sent separately. SECTION I I SECTION II A.DWELLINU B. OTHER C. PERSONAL D. LOSS E. PERSONAL F. MEDICAL PAY STRUCTURES PROPERTY OF USE LIABILITY EACH PERSON 01100 Comprehensive Fm 610.00 ACTUAL LOSSES SUS IUEn 05102 12101 Calif Work Comp Fungi/Bacteria 235,800 23,580 1 165,060 1 nr 12 mos. 1 300,000 1 1,000 FOR LOSSES ARISING UNDER SECTION I, WE WILL PAY ONLY THAT PART OF THE LOSS IN EXCESS OF $1,000. COVERAGE DESCRIPTION PREMIUM COVERAGES DESCRIPTION PREMIUM CCOVERAGE HOS 01100 Comprehensive Fm 610.00 HO90 12747 05102 12101 Calif Work Comp Fungi/Bacteria 12559 02107 Per Prop Rep] HO216 01100 Prem Alarm Prat 13.00CR 11796 07111 CA Res Prop Dis - 438BFUNS 05/42 Lenders Loss Pay INOOODNC 04109 Privacy Stmt 1N0100 01110. Important Notice' IN2004N 01105 Consumer Info 10940 07189 CA Ins Guarantee H0300CA 12112 Spec Provisions IN2499N 02/10 Important Notice IN2618 12112 Important Notice . TOTAL PREMIUM 597.00 Additional Residence Occupied By Insured Morta e Loss Paves or Other Interest Loan Numberl 1127056169 AMERICAS SERVICING COMPANY IST (SAIDA. ATIMA MORT PO BOX 5106 SPRINGFIELD, OH 45501-5106 NATIONWIDE INS CO OF AMERICA Authorized Representative DIRECT BILL 0000 13107 000606 INSURED COPY, 7271JAWb eu za 0 2. 1 Public works oepar ent 1501 Truxtun Avenue BakeMrlekl, Celifomia 93301 (651)326-3724 ENCROACHMENT PERMIT REQUIREMENTS Application Permit Fee of $206.00 Minimum S 1/2 x 11 showing encroachment on lot in relation to the existing c utter and sidewalk, along with distances from curb, gutter and sidewalk to the en chment. Drawing to include curb, gutter and sidewalk and any additional information may assist the City in making a determination as to your request. 4 Type and Amount of Insurance Coverage for fence installation or construction for A. Residences Homeowners General Liability coverage in an amount of at least $300.000.00 Commerclal neva bility coverage in an amount of at le s 1,000,000.00 2 Additionallnsur Verbiage(For Commercial) r A. Th ay akersfield, Rs r, council, emplo a sots and volunteers ar ad as additional insu d with respect to (i.e.,t a ins lation of ach n link f ce at 1501 Truxt n P.v r 6 Wnpoacun,tr44Pe4n1�sllnsatanceP.eeuilCM4n15 • El E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 23, 2014 SUBJECT: Encroachment Permit Application for: 1219 Cates St. Name of Applicant: Amrik Singh Description of Encroachment: Existing 4' high wrought iron fence around front yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience SiPERMITMENCROACH\TRAFFIM1219 Cates Stdoc B _=1 h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager c� u FROM: Bob Wilson, Supervisor II, Su"`b"'ddiivisions DATE: April 23, 2014 SUBJECT: Encroachment Permit Application for: 1219 Cates St. Name of Applicant: Amnk Singh Description of Encroachment: Existing 4' high wrought iron fence around front yard behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACKINSURANCE\1219 Cates St.doc