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HomeMy WebLinkAbout11419 COTNER AVEENCROACHMENT 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- 30000004 Date 1/17/06 Property Address . . . . . . 11419 COTNER AVE W ATN (11 Digits): 387 - 251- 01 -00 -3 Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------------ ------------------------ SWEARINGEN DOUGLAS S OWNER /BUILDER 8205 WIMBLEY WY BAKERSFIELD CA 93311 BAKERSFIELD CA 93301 -------------,--------------------------------------------------------------- Permit . . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 492926 Permit Fee . . . . 150.00 Issue Date . . . . 1/17/06 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 150.0000 EA PW ENCROACHMENT ---------------------------------------------------------------------------- 150.00 Special Notes and Comments DOUGLAS IS GOING TO MOVE THE FENCE OVER 3FT TO EDGE OF SIDEWALK AND MAKE BLOCK WALL. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150.00 150.00 .00 .00 Applicant ackno ledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the pe t at any tir . 0 N SignatuX of Applicant (Owner /Agent) Print N &Ae 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 • E 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: January 18, 2006 SUBJECT: Encroachment Permit Application for: 11419 Cotner Ave Name of Applicant: Douglas Swearingen Description of Encroachment: Move fence Y over to edge of sidewalk and build block wall. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to move the fence Y over to edge of sidewalk and build a block wall 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. SAPERMITSTNCROACK11419 Cotner Ave.doc 40 B A K E R S F I E L L? PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 18, 2006 SUBJECT: Encroachment Permit Application for: 11419 Cotner Ave Name of Applicant. Douglas Swearingen Description of Encroachment: Move fence Y over to edge of sidewalk and build block wall. Please review the insurance certificate with the attached encroac ment permit and return to me at your earliest convenience. SAPERMIMENCROACH\INSURANC \11419 Cotner Ave.doc B A K E R S F I E L L7 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 18, 2006 SUBJECT: Encroachment Permit Application for: 11419 Cotner Ave Name of Applicant. Douglas Swearingen Description of Encroachment: Move fence Y over to edge of sidewalk and build block wall. Please review the attached encroachment permit and return to me at your earliest convenience. Iles -oe �r SAPERMITS \ENCROACH \TRAFFIC \11419 Cotner Ave.doc APPLICATION FOR ENCROACHMENT 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 includini;.phone number: Db IA•s &-� Vie. ALOJ� 7L)e ariy\eV -h o � �. ► � � /� .,- -i-n o ,� � , a ,. 2.,11 � �1. Gi 22 I � /�,�, i) �R�i .'�.�2� � 2. Nature or description of the encroachment for which this application is made: ID-Oug- .ii,�p 0 c a,- OV-Pe 3. Location. of the proposed encroachment: 91, �] 4. Period of time for which the encroachment is to be maintained: Mw . 0 V Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless City, its ffi ocers, agents and em Ioyees 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, ari.sin 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 -upoon, the revocation thereof by the City eneineer, applicant will at his own cost and expense remove the same from the public Rropert y or right of way where the same is located, and restore 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 Enguieef 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 evidencing 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.Cade�ChppWrl,2.20 to revoke the permit at any time. Date: .R- ---- -- `'"' ignature o App 1 an (Own or presentative 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 LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRA.YTED) (DENIED). SAID PE101IT SHALL EXPIRE Date: No. Signature of ity Engineer CITY 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. (Street for puposed encroachment) of Address of purposed encroachment ) SIGNED : -W Il.50M✓ UM A1. KAr •i Name: ' I At4 ►: Address: , MO .. - , �► " . 6) Name: _ l S S pD H t3 Address: 1 I �-co -11x A66 (Owners Name) Phone:/ Call aq -6,7: -7Q? Date: Date: 17- Date: 1--- r ©Ca Date•J Date: Date: a� - aawac r w n� �cnc a uwau wna.c vvn.Nwu ° q Stock Company With Home Offices in oomington, Illinois 6 900 Old River Rd Bakersfield, CA 9331 1 -6000 Named Insured K- 12- 1806 -F784 F H SWEARINGEN, DOUGLAS & CHARLANA 11419 COTNER AVE BAKERSFIELD CA 93312 -3060 DECLARATIONS PAGE Policy Number 87 -GJ- 0294 -0 Policy Period Effective Date Expiration Date 12 Months AUG 25 2005 AUG 25 2006 The policy period begins and ends at 12:01 am standard time at the residence premises. Loan # 0024396889 Mortgagee WELLS F'ARGO HOME MORTGAGE INC #1106 ITS SUCCESSORS AND /OR ASSIGNS PO BOX 5106 SPRINGFIELD OH 45501 -5106 HOMEOWNERS POLICY Automatic -- Renewal - -If the policy- period is shown as 12 months, -this policy will be renewed _automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee /Lienholderwritten notice in compliance with the policy provisions or as requlred'by law. Location of Residence Premises Same as Insured's Address This policy does not provide cover This policy includes Building Code Coverages & Property SECTION I A Dwelling Dwelling - Extension -up to B Personal Property C Loss of Use r loss 15,790 Limits of Liability 157,900 25;000 118 425 Actual Loss Sustained SECTION II 300,000 L Personal Liability $ (Each Occurrence) Damage to Property 500 of M Medical Payments to $ 1, 000 Others (Each Person) $ Loss Settlement Provision (See Policy) Al Replacement Cost - Similar Construction 131 Limited Replacement'Cost = Coverage'B Forms, Options, & Endorsements Homeowners Policy Cov'A' Loss Settlement Seepage or Leakage Exclusion $5,000 Fungus (Incl Mold) Limt Motor Vehicle Endorsement Policy Endorsement Fungus (Including Mold) Excl Registered Domestic Partnrship Lenders Loss Payable FP- 7955,CA FE -5363 FE -5400 FE -5427 FE -5452 FE -5320 FE -5424 FE -5383 438- BFU.NS Inflation Coverage Index: 192.4 Deductibles - Section I All Losses $ 1,000 In case of loss under this policy, the deductibles will be applies per occurrence and will be deducted from the amount of the loss. Other deductibles may apply - refer to policy. Policy Premium $ 877. Discount Applied: Home /Auto Other limits and exclusions xnay apply - refer to your policy Yopr policy consists of this page, any endorsements and the policy form. Please keep these together. FP -7018C Continued on Reverse LINDA WRIGHT 11 t 2 151 I 661 - 393 =1488 N't& Prepared dUL21-2005 _ __.__._ -- 555- 7020cA..-._ s��- Zn2n_1._Eev_+n•2nnunitfl39tr.1 A"I i I I 1 71