HomeMy WebLinkAbout10201 ROEHAMPTON AVE MDENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT �/
1501 TRUXTUN AVE - .
BAKERSFIELD CA 93301 q L(
(661) 326 -3724 0
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- 30000025 Date 3/31/08
Property Address . . . . . . 10201 ROEHAMPTON AVE MD
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
----- °------------ - - - - -- ------------------------
WILKERSON MICHAEL J & TERESA L OWNER
10201 ROEHAMPTON AV
BAKERSFIELD CA 93312
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Permit . . . . .
. ENCROACHMENT PERMIT
Additional desc
.
Phone Access Code
790808
Permit Fee . . .
. 200.00
Issue Date . . .
. 3/31/08 Valuation . . .
. 0
Qty Unit Charge Per
Extension
1.00 200.0000 EA PW ENCROACHMENT
200.00
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Special Notes and
Comments
Existing 3' tall
concrete rock fence
located in front
of house at back of
sidewalk.
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Fee summary
- - - ---
Charged Paid Credited
---- - - - - -- ---- - - - - -- --- - - - - --- ----
Due
- - - - --
-----------
Permit Fee Total
200.00 200.00 .00
.00
Grand Total
200.00 200.00 .00
.00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit at any time.
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Signature of Applicant (Owner /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) CONSTITUTE 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
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B A I� E R S F I E I-
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PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: June 2, 2008
SUBJECT: Encroachment Permit Application for: 10201 Roehampton Ave.
Name of Applicant. Wilkerson Michael J & Teresa
Description of Encroachment. Build Y concrete rock fence behind
sidewalk. This fence is already built
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of description of encroachment. The site is located at address of encroachment.
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 \10201 Roehampton Ave..doc
40
.0000
B A K E k S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 2, 2008
SUBJECT: Encroachment Permit Application for: 10201 Roehampton Ave.
Name of Applicant. Wilkerson Michael J & Teresa
Description of Encroachment: Build Y concrete rock fence behind
sidewalk. This fence is already built
Please review the attached encroachment permit and return to me at your earliest convenience.
44�0
SAPERMIMENCROAMTRAFFIM10201 Roehampton Ave..doc
40
00*10
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: April 24, 2008
SUBJECT: Encroachment Permit Application for: 10201 Roehampton Ave.
Name of Applicant. Wilkerson Michael J & Teresa
Description of Encroachment. Build Y concrete rock fence behind
sidewalk. This fence is already built.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\ PERMITS \ENCROACH \INSURANC \10201 Roehampton Ave..doc
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Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326 -3724
APPLICATION FOR ENCROACHMENT PERMIT
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:j��j�of /
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...) -� _u"4M
3. Location of proposed encroachment: (Example: Side yard at back ofe sidewalk or front yard at back of sidewalk)
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4. Period of time for which the encroachment is to be maintained: �&ircle) or Other.
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 insurance required. The type(s) 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
•
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Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326 -3724
APPLICATION FOR ENCROACHMENT PERMIT
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:j��j�of /
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...) -� _u"4M
3. Location of proposed encroachment: (Example: Side yard at back ofe sidewalk or front yard at back of sidewalk)
J v-r, n-✓i a an•rr� .
A4- heick n f _ s 1Clle_wcA,` 1
4. Period of time for which the encroachment is to be maintained: �&ircle) or Other.
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 insurance required. The type(s) 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
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.
1?Z�Ehay mom 114116y —,
(Street for purposed encr achme>>nt)
Of 40-
(Address of purposed encroachment)
SIGNED:
1.) Name:
Address
2.) Name:
Address.
B A
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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.
1?Z�Ehay mom 114116y —,
(Street for purposed encr achme>>nt)
Of 40-
(Address of purposed encroachment)
SIGNED:
1.) Name:
Address
2.) Name:
Address.
3.) Name:
Address:
l Oa
4.) Name:
Address:
5.) Name:
Address:
6.) Name:
Address:
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By: C' % / - / aC,TE?SC 14 —)d @Y -son
(Owhers
Phone: �(c21 ° 533°-
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Date: jlJP169� _
Date:
Date: 13 al d
Date: -:� .2
Date: ,3 -a y' 0'9
Date:
Allstate Insurance Company
AMENDED
Deluxe Plus Homeowners
Policy Declarations
Summary
NAMED INSURED(S)
YOUR ALLSTATE AGENT IS:
CONTACT YOUR AGENT AT:
Michael & Teresa
Hillis Ins Agy
(661)327 -1883
Wilkerson
4200 Easton Dr 1
10201 Roehampton Avenue
Bakersfield CA 93309
Bakersfield CA 93312 -5353
POLICY NUMBER
POLICY PERIOD
PREMIUM PERIOD
9 14 041436 01/07
Begins on Jan. 7, 200B
Jan. 7, 2008 to Jan. 7, 2009
at 12:01 a.m. Pacific Time
at 12:01 a.m. Pacific Time
and continues until cancelled
LOCATION OF PROPERTY INSURED
10201 Roehampton Avenue, Bakersfield,
CA 93312 -5353
MORTGAGEE
• CITIMORTGAGE INC ITS SCRS &/OR
ASSIGNS ATIMA
P 0 Box 7706 Springfield OH 45501 -7706 Loan #654022809
Total Premium for the Premium Period (Your bill will be mailed separately)
Premium for Property Insured $887.00
TOTAL $887.00
See the Important Payment and Coverage Information section for details about payment options and
installment fees.
Your policy change(s) are effective as of Jan. 7, 2008
as of PROP Ig1111119111111120453041111116118111191119111111111111111�IIIIIIIIEIIIE � „_ CA07CAMD
Allstate Insurance Company
Policy Number: 9 14 041436 01/07 Your Agent: Hillis Ins Agy (661) 327 -1883
For Preanium Period Beginning: Jan. 7, 2008
POLICY COVERAGES AND LIMITS OF LIABILITY
COVERAGE AND APPLICABLE DEDUCTIBLES
LIMITS'OF LIABILITY
(See Policy for Applicable Terms, conditions and Exclusions)
Dwelling Protection - with Building Structure Reimbursement Extended Limits
$290,933
• $1;000 All Peril Deductible Applies
Other Structures Protection
$29,093
• $1,000 All Peril Deductible Applies
Personal Property Protection- Reimbursement Provision
$218,200
• $1,000 All Peril Deductible Applies
Additional Living Expense
Refer to Policy
Family Liability Protection
$300,000 each occurrence
Guest Medical Protection
$2,500 each person
Building Codes
Refer to Policy
Workers' Compensation and Employers' Liability
Statutory/See Form
Coverage for Residence Employees
The limit of liability for this structure (Coverage A- Dwelling Protection) is based on an estimate of the cost to
rebuild your home, including an approximate cost for labor and materials in your area, and specific information
that you have provided about your home.
This policy does not cover earth movement including earthquake
You have elected not to purchase a CEA earthquake policy
DISCOUNTS Your premium reflects the following discounts on applicable coverage(s):
Claim Free 15% Home and Auto 20%
Protective Device Rate Applied
RATING INFORMATION
The dwelling is of Frame construction and is occupied by 1 family
Intonna0on"0l Page 2
Dece ,",2007 CA07UAMD
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