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HomeMy WebLinkAbout12211 GRAND TETON DR MDENCROACHMENT 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 . . . . . 08- 30000054 Date 6/09/08 Property Address . . . . . . 12211 GRAND TETON DR MD Application type description PW - ENCROACHMENT PERMIT Owner TAMBURINE EUGENE 12211 GRAND TETON DR BAKERSFIELD CA 93312 Contractor OWNER ---------------------------------------------------------------------------- Permit . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 813923 Permit Fee . . . 200.00 Issue Date . . . . 6/09/08 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 200.0000 EA PW ENCROACHMENT 200.00 ---------------------------------------------------------------------------- Special Notes and Comments 4 foot fence along sides of house to back of sidewalk - fence is existing ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---- ------- - - - --- ---- - - - - -- -- - - - - -- -- -- -- - - -- -- - - - - -- Permit Fee Total 200.00 200.00 .00 .00 Grand Total 200.00 200.00 .00 .00 13� 29 a� n2 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Signa ure o Applicant (O er /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) - NS- TITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO (GRANTED) (DENIED). Said permit shall expire on date stated above. L Signature of City Engineer Additional Terms on the Back S A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 24, 2008 SUBJECT: Encroachment Permit Application for: 12211 Grand Teton Dr. Name of Applicant: Description of Encroachment: sides of house- fence is already built. Tamburine Eugene Build 4' high fence out to sidewalk along Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build 4' fence on both sides of house, out to sidewalk. The applicant has provided proof of appropriate insurance coverage to Risk Management, and has provided signatures of all immediate neighbors stating that they have no objection to the proposed construction. Based on their review, staff recommends approval of the permit. SAPERMITS \ENCROACH \12211 Grand Teton DR..doc w 40 0000 B A K E R S F I E I1 D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: June 18, 2008 SUBJECT: Encroachment Permit Application for: 12211 Grand Teton Dr. Name of Applicant. Tamburine Eugene Description of Encroachment. Build fence 4' high out to sidewalk along sides of house- fence is already built. Please review the attached encroachment permit and return to me at your earliest convenience. SAPERMIMENCROACKTRAFFIM12211 Grand Teton Dr..doc oog 0B A K E R_ S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: June 16, 2008 SUBJECT: Encroachment Permit Application for: 12211 Grand Teton Dr. Name of Applicant. Tamburine Eugene Description of Encroachment. Build fence 4' high out to sidewalk along sides of house- fence is already built. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Mli S:\ PERMITS \ENCROACH \INSURANC \12211 Grand Teton Dr..doc o Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $200.00 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. 1. Full name of applicant and complete address including phone number: (n it7l.*k. y)rAm10.kAJ 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...) ook-, Nc, fj ,c- A v,U 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) TCR0Q -V QJ Dnaot CA c;sly%C, vJ DLK 4. Period of time for which the encroachment is to be maintaine :Indefinite or Other. lease Circ ) 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, 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. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or upon the revocation thereof by the City engineer, applicant will at his own cost and expense remove the same from the public property or right of way where the same is located, and restored 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 evidenc- ing the i5surancepquired. The type(p) and amount(s) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. S:\ EncroachmentPermits \ApplicationforEncroachment B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $200.00 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. 1. Full name of applicant and complete address including phone number: (n it7l.*k. y)rAm10.kAJ 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...) ook-, Nc, fj ,c- A v,U 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) TCR0Q -V QJ Dnaot CA c;sly%C, vJ DLK 4. Period of time for which the encroachment is to be maintaine :Indefinite or Other. lease Circ ) 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, 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. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or upon the revocation thereof by the City engineer, applicant will at his own cost and expense remove the same from the public property or right of way where the same is located, and restored 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 evidenc- ing the i5surancepquired. The type(p) and amount(s) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. S:\ EncroachmentPermits \ApplicationforEncroachment B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (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. `art'a.V J i 7v,y b . By: < C, C " U Z2— A, (Street for purposed encroachment) (Owners Name) Of �'Z 2 /l �gAA, `J ICrO.v �a Phone• l 8"!�S ' 1ST �) (Address of purposed encroachment) SIGNED: 1.) Name: /�c� eA r Address: 1 a��� ren�1 ' i e �� l-)!'. 2.) Name: C--L � Address: -Z7_ 3.) Name: ,�n J''%? f- 1 em 1ryCrf2A- Address: (2.21J diggdA jrbn i 4.) Name: Address: 7 5.) Name: Address: 22-i 6.) Name: Address: -1--F"-T-- , Date: 5/117/09 Date:!J Date: 101CIA- Date: 6 Date: ,w Date: Insurance Services 5/19/2008 8:35 AM PAGE 3/003 Fax Server MWOOMESS Newport insurance Company 'R0,136011-40 -la ' -Ck,'9Z7 -6 Ana 09 140 HOUWWM,8- VOUCY JARCLAMTIONS Man TO: Named boavd..! sus 14W UMMIMMUM EVOMTAWURTM.' L2-211 GRAND V ETON DR 122.11 GRAM TETONDR DAKERSFIELD CA 93312 BAKEWSHELD, CA. 933:1.2, 6 COVOWNPOevir Agent: 11211 GRAND TEMN UR COUMYWME lNSU.XWCE% TNCi BAKERSFIELD, CA 93312. 994 FLOWER GLEN SlW,VALUT,:CA.93065 Agent Cob. 626102 liar c*W4Oro 1'.00,094- _FbrCW'MqC8q: (898)::76&*496: GMVWY THN OWS14820 Newpon InswaceCompany Prefened From; 0243-00 Toll '0243.-0 12.01A.M: STANDARD TIME AT THE ADDRESS. OF THE USIDENCE PREMSES coverasm QqveWi; OtheT Stluctures: Coverage C - personal Property- caveme 1) -1,085 of- US6 sedioll U Cover-age B w Pomp al L - kbility Coverage F - MWicalft=*- (or ep"soo Lirnits:of Lipboy PXMH-QW Wk"'ble AR Polil Veda *10 ( tit $1,00.OD INSURW:COPY $191000 $MOO $1.9,700 S93,$00 $37,400* $500;,0 $33,00 Um $1.100 HWW-000104 Pale UOU Map Output of Bakersfield Prepared by the City of Bakersfield, CA GIS division of Information Technology. The City of Bakersfield makes no warranty, representation, or guarantee regarding the accuracy of this map. This map is intended for display purposes only and does not replace official recorded documents. Page 1 of 1 http: / /geoweb. ci. bakersfield .ca.uslservleticom.esri. esrimap. 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