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HomeMy WebLinkAbout5313 JONAH ST MDENCROACHMENT PERMIT CITY OF BAKERSFIELD 4 PUBLIC WORKS DEPARTMENT 2� 1501 TRUXTUN AVE J 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- 30000045 Date 4/28/08 Property Address . . . . . . 5313 JONAH ST MD Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------------ ------------------------ BRADFORD ANNETTE OWNER 11810 DAMASK ST BAKERSFIELD CA 93312 ------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 800490 Permit Fee 200.00 Issue Date . . . . 4/28/08 Valuation • . 0 Qty Unit Charge Per Extension 1.00 200.0000 EA PW ENCROACHMENT ------------------------------------------------------ 200.00 Special Notes and Comments Build brick and wrought iron fence behind the sidewalk. this fence is already built. The fence is not over 4' high. ---------------------------------------- Fee summary Charged Paid Credited --- - - - - Due -- --- - - - -- -- ---- - - - - -- Permit Fee Total 200.00 200.00 .00 .00 Grand Total 200.00 •200.00 .00 .00 the Akht of permit 4t at time. x ` v r "v(Lllvu i-/ Signature of Applicant (Owner/ pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the u 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) 03,NSTJQUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE ( ED) ENIED). Said permit shall expire on date stated above. Signature o ity E Additional Terms on the Back • 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: May 16, 2008 SUBJECT: Encroachment Permit Application for: 5313 Jonah St Name of Applicant. Annette Bradford Description of Encroachment. Build brick & wrought iron fence behind sidewalk, not over 4' high. This fence is already built. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to install fence as described above. The applicant has provided proof of appropriate insurance coverage to Risk Management. Based on their review, staff recommends approval of the permit. SAPERMIMENCROACK5313 Jonah St.doc E A K E R 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 8, 2008 SUBJECT: Encroachment Permit Application for: 5313 Jonah St. Name of Applicant. Annette Bradford Description of Encroachment. Build brick & wrought iron fence behind sidewalk, not over 4' high. This fence is already built. Please review the attached encroachment permit and return to me at your earliest convenience. a, S: \PERMITS \ENCROACH \TRAFFIC \5313 Jonah St.doc I3 A K E R> F I E I. L� PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 8, 2008 SUBJECT: Encroachment Permit Application for: 5313 Jonah St. Name of Applicant. Annette Bradford Description of Encroachment. Build brick & wrought iron fence behind sidewalk, not over 4' high. This fence is already built. Please review the attached certificate of insurance and encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANC \5313 Jonah St.doc __04!2312968 69:13 6613240126 ACC M. CERTIFICATE OF LIAR PRDDUOER CAL #Clem insu ms AgnoGY 329 0828TBR AVENUE BAKSRsrxzLID CA 93301 INSURED A1:i=Ti BRADFORD 11810 DAMASK STREET S AXERRaINW, CA 93312 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID IF ADM - - d...........��� I CLAIMS MADEE F1 OCCUR CUR' f PER: LOC CAL KERN INS PAGE 02 INSURANCE 1 '"22 -0'8"' DOES NOT B AFFORDING COVERAGE NAIL N CrAT=r NATIONI;AL INS - CO- I NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR IS SUBJECT To ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PRODUCTS - COMPIOP AGO 16 1 VHOU►D ANY OF THE AROW CLtSCRNIED POLICIES BE CANCELLED BEFORE TM EXPIRATION DATE nWJtF4 F, THE ISSWNO RMURER WILL ENDEAVOR TO MAIL DAVIT WITWMN Wt" TO THE CERTLFIDA -M HQLDER /MMEO TO THR LlPT, BUT FAILURE TO CO SD SHALL IMPOSE ND OduOATION OR LLABILRY OP ANY KIND UPON THS IN*WtW , ITS ADENT! OR 1 0 ACORD CORPORATION 1938 AUTOMOOM.S LUUYLITY ANY AUTO COMBINED SINOLE LIMIT (Ea aoMdent) $ BODILY INJURY (PR Partial ALL OWNED AUTOS SCHEDULKOAUTOS BODILY INJURY (Por acrid6Ytt) S HIRED AUTOS N0114WN50 AUTOS PROPERTYDAMAOE (Par aodtl6nl) $ GARAGE LIABILITY AUTO ONLY • R4 ACCIDENT $ OTHER THAN EA ACC S ANY AUTO f AUTO ONLY, AGG EXCEESIUM$RELLALIAMILJTY EACHOCCURRANCE $ AGGREGATE S OCCUR CLAIM* MADE 8 DEDUCTIBLE S RETENTION III WORNERS COMPENSATION AND WD STATU- EL. EACH ACCIDLNT $ LOYERSr I. mlUTY ECUTIVE OFF��� MSRJPXCLIJ9907 F-L DISEASE -EA EMPLOYEE S E.L. DISEAM - POLICY LIMIT I $ N dastA6a under Sr I 00 00= OTNlR SCl- $112843 4 -22 -06 04 -06 -09 Q30o,aoO.oa A OWM, LANDLORD LIABILITY 0EAMPTI0N OF DPKMT10NS I LOCATIONS I VEH UIB I ZKOWIIIONS ADM BYE I SPECIAL PROV IMIll PROPLRItTY LOCATIND AT: 532,3 LTOKLEI MEET, AJ►> ROPINI D, CA. OP307 VHOU►D ANY OF THE AROW CLtSCRNIED POLICIES BE CANCELLED BEFORE TM EXPIRATION DATE nWJtF4 F, THE ISSWNO RMURER WILL ENDEAVOR TO MAIL DAVIT WITWMN Wt" TO THE CERTLFIDA -M HQLDER /MMEO TO THR LlPT, BUT FAILURE TO CO SD SHALL IMPOSE ND OduOATION OR LLABILRY OP ANY KIND UPON THS IN*WtW , ITS ADENT! OR 1 0 ACORD CORPORATION 1938 a� 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: 5 Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the y�ndersigned applies for a permit to place, erect, use and maintain an encroachment on public property or rig ht- of- waypi` therein defined. 1. Full name �o�f applicant and complete address including phone number: -N A) N) 4,4-'F, &AORib DD. 1 do I C�Cq ° `7 6% C D / �j3�12 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...) lex,U 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) S(DF_ b0ty k ON 5313 Toivah 5 4. Period of time for which the encroachment is to be maintained: Indefinite or the ®Q -t�e� (Please Circle) 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 09- 3 00000 45 S A TG E R S F I E L D 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: 5 Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the y�ndersigned applies for a permit to place, erect, use and maintain an encroachment on public property or rig ht- of- waypi` therein defined. 1. Full name �o�f applicant and complete address including phone number: -N A) N) 4,4-'F, &AORib DD. 1 do I C�Cq ° `7 6% C D / �j3�12 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...) lex,U 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) S(DF_ b0ty k ON 5313 Toivah 5 4. Period of time for which the encroachment is to be maintained: Indefinite or the ®Q -t�e� (Please Circle) 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 09- 3 00000 45 e .awww.wn"n`" 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. (Street for purposed encroachment) (Owners Name) Of b51> locQArH- Phone ID I .. L1.0 (Address of purposed encroachment) SIGNED: 1.) Namw Addres k. 2.) Name: Address: ' y1,1 ` . cam. 3.) Name: Address: 5b d --Tb 4.) Name: Address: 5.) Name: Address: 6.) Name: Address: Date:k>9".-A Date: Date: Date: Date: Date: