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Home My WebLink About3001 19th stENCROACHMENT 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 . . . . . 06- 30000005 Date 2/01/06 Property Address . . . . . . 3001 19TH ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------ - - - - -- PELTIER THOMAS ------------------------ OWNER /BUILDER 3001 19TH ST BAKERSFIELD CA 93301 BAKERSFIELD CA 93301 619 -5647 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 500629 Permit Fee . . . . 150.00 Issue Date . . . . 2/01/06 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 150.0000 EA PW ENCROACHMENT 150.00 ---------------------------------------------------------------------------- Special Notes and Comments BUILD WROUGHT IRON FENCE TO SIDEWALK ---------------------------------------------------------------------------- Fee summary ; Charged ------- ---- - - - - -- -- -- - - -- -- Paid Credited ---- - - - - -- ---- - - - - -- ---- Due - - - - -- Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150.00 150.00 .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. 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) CONSTffJ -qE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (IEDIONIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back TO: FROM: DATE: SUBJECT: S A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM Raul M. Rojas, Public Works Director Marian P. Shaw, Civil Engineer IV, Subdivisions February 3, 2006 Encroachment Permit Application for: Name of Applicant. Description of Encroachment. 3001 19th St. Thomas Peltier Replace existing fence along sidewalk with brick and wrought iron fence. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to replace their existing fence along the sidewalk with a brick and wrought iron fence. 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. & PERMITS \ENCROACH \3001 19th Street—Approval memo.doc B A IL E R S F I E L v PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 1, 2006 SUBJECT: Encroachment Permit Application for: Name of Applicant. Description of Encroachment: 3001 19th St. Thomas Peltier Replace existing fence along sidewalk with brick and wrought iron fence. Please review the attached encroachment permit and return to me at your earliest convenience. Z/03�06 0.k �NST�LG�Gt� � S: \PERMITS \ENCROACH \TRAFFIC \3001 19th St.doc TO: FROM: DATE: SUBJECT: S A K E R S F I E L E) PUBLIC WORKS DEPARTMENT MEMORANDUM Pat Flaherty, Risk Manager Marian P. Shaw, Civil Engineer IV, Subdivisions February 1, 2006 Encroachment Permit Application for: Name of Applicant. Description of Encroachment. 3001 19th Street Thomas Peltier Replace existing fence along sidewalk with brick and wrought iron fence. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANC \3001 19th Street.doc APPLICATION FOR ENCROACHIVIENT PERMMIT TO THE `CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNLA: 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� cl S 42 o l �� 4`7 2. Nature or description of the encroachment for which this application is made: %'r,jo ntz cae Ae r 3. Location of the proposed encroachment: �.f 00 ] _ l �C `` c c A�h' 07 S1 45:�-C •. � S 4. Period of time for which the encroachment is to be maintained: A s L6 w G An s H4 L,,u Ap I" ant agrees that if this application is_ granted, applicant shall indemnify, defend and hold harmless City, its X agents and em loyees 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 u on.the expiration of the permit for which this application is made, if granted, or -u on rn opert v or right of way where the same is located, and restore said public property or ri&ht 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 Engincd 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 inju or property damage liability or both and required endorsements evidencing the insurance required. The types and amount(s) of insurance, coverage is: Applicant acknowledges the right of the City Engineer, Pursuant.to- B ersfield Mun.icipal..Cade,Ch, p�J2.20 to revoke the permit at any time. �. Date: atu — i gn re of AppIIdant (owner -or epresentative PERMIT 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 PUBLIC PLACE WHERE THE SAME IS TO BE SAID APPLICATION(IS WILL EREFORE (GRAM ED) SAID PERMIT SHALL EXPIRE PLACE; Date: No. igaature of ity Engineer ENCIXOACHNIENT PERMIT INSURANCE REQUIREMENTS I) Type and Amount of Insurance Coverage for &= installation or construction 1) for residences Homeowners coverage in an amount of at least 5300,000 A") for businesses Conunercial General Liability coverage in an amount of at least 5500,000 11) Additional Insured Verbiage The city a I f Bakersfield, its mkvor, council, employees, agents and volunteer are added as � 1, additional insureds with respects to .1 - - 1,ftt installation of a chain link fence at 1501 Tru=n Ave.). 60'Xe)� A 2 --3'c) j ke� 4 x XfietC /401-L I LU XfietC /401-L I ",aT.Y,OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS 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. Dies C CC >�t Gv2/ti / �1 L L (Street for puposed encroachment) (Owners Name) of i v1 �c'�ol f `` �� .. K ,�� (Address of purposed encroachment ) SIGNED: 1) Name: A Address: Z 2) Name:, s<qnwso .-I q.+!= ( & Phone:.' /"1 .!address: 3) Name: c( Address: 761 4) tame: All Address: 7_,� ! ( (q 3) Name: Address: 6) Name: Address: Date: Date: 0 l Dt Z Date• Z Date: T v� Date: Silver Homeowners Policy 1471 Declaration Page 1 of 2 MEMO COPY !/n%gUI'd Company: Unigard Insurance Company P.O. Box 90701 Policy Number: Bellevue WA 98009 H N 176486 Named insured: Agent: Amended Declaration issued 05/11/05 Thomas A Peltier Uvis /Fallgatter Rhodes Ins. Services replaces all prior declarations, if any, 3001 19th St 9100 Ming Ave Ste 201 and with policy jacket, forms and any Bakersfield CA 93301 Bakersfield CA 93311 endorsements, completes this (661) 324 -2424 Homeowner Policy. Policy period from 06/15/05 to Coverage is provided only where a 06/15/06 at 12:01 A.M. standard time premium or a limit of liability is shown at the address of the named insured. for the coverage. Location of insured premises: We will provide the insurance described Same as insured address above in this policy in return for the premium and compliance with all applicable policy provisions. Coverages Limits of Liability Section 1 Premium paid by: Insured Coverage A - Dwelling $ 255,200 Number of Families: 1 Coverage B - Other Structures $ 25,520 Construction Type: Frame Coverage C - Personal Property $ 191,400 Year Built: 1954 Coverage D - Loss of Use $ 127,600 Protection Class: 3 Territory: 44 Deductible $500 In case of a loss under Section I, we cover only that part of the loss over the deductible stated. Section II Premium Summary Coverage E - Personal Liability $ 500, 000 each occurrence Basic Policy Premium: $ 903.00 Coverage F - Medical payments to others $ 5, 000 each person Additional Coverages: $ 48.00 Total Policy Premium: $ 951.00 Notice to Insured Your policy does not cover flood loss. You may be able to get protection through the National Flood Insurance Program. If you wish to find out more about this program, please contact your Unigard agent. Your policy does not cover loss by earthquake. This policy contains up to 10% of the Coverage A limit for Ordinance or Law coverage. The limit of liability for this structure (Coverage A) is based on an estimate of the cost to rebuild your home, including an approximate cost of labor and materials in your area, and specific information that you have provided about your home. Congratulations! Your total premium has taken into consideration the following credits. Cross Sold Credit Protective Device Credit Claim Free Credit Deductible Credit Thank you for choosing Unigard for your Insurance needs. Page 1 of 2 153090 (01 -01) X93301 06 -03