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