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HomeMy WebLinkAbout6104 CHESTER W NIMITZ 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 . . . . . 08- 30000014 Date 2/28/08 Property Address . . . . . 6104 CHESTER W NIMITZ ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor --- --=--- --------- - - - - -- ---- ------------- - - - - --- MONTOYA FRANK JESUS SR & SUZAN OWNER 6104 CHESTER W NIMITZ ST BAKERSFIELD CA 93304 - ---------- --- -- -- -- -- -- -------------- ------- ---------------------------- Permit ENCROACHMENT PERMIT Additional desc S Phone Access Code 777581 Permit Fee . . . . 200.00 Issue Date . . . . 2/28/08 Valuation . . . . Qty Unit Charge Per Extensior 1.00 200.0000 EA PW ENCROACHMENT 200.0( ------------------------------------------------ -- ------ ----- -- ----- - - --- -- Special Notes and Comments Build fence not over 41 high made of wrought iron and brick. this fence is already built. -------------------------------------------------- ------------------- - - - - -- 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 Engir to the Bakersfield Municipal Code Chapter 12.20 to revoke the pe t at a time. - -SS'igna ure o pplicant (6 ner /Agent) ) I HEREBY CERTIFY THAT I HAVE MA' U l f Lj APPLICATION AND FIND THAT Tl SUBSTANTIALLY INTERFERE WITH T1 WILL (NOT) CONSTITUTE A HAZAR > / IS THEREFORE (GRANTED) (DENIED). Sa' lit Signature of City Engineer 6�s �'j Additional Terms on u,., _ - � �1 .. VDU o0 1 APPLICATION FOR ENCROACIDIENT PERMIT yg7 -5 3.g1 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 addre S' ludina.phone number: G d I,7 / to _q- 0_'A ('_4 l�l i I'Yl e & / ?,-3- l 3 i 2. Nature -or'. description of the encroachment for which this application is made: 3. Location of the proposed encroachment: 4. Period of time for which the encroachment is to be maintained: _ Applicant agrees that if this application is. granted, applicant shall indemnify, defend and hold harmless 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, ansin out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other pperson 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 •Wo_n nrooertv 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 obtiin and keep all liability insurance required by the City En ''aed 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 ** 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.xo :Bakersfield Municival'c 9deC 2.20 to revoke the permit at any time. Date: - Sigwftu& of t (Owner o e resentative 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 (GILMED) (DENIED). SAID PEILNIIT SHALL EXPIRE Date: No. 0 ?- 300000tH Signature of ity Engineer ' w".1Y O.A �BAKERSFIELD r. DiiiiT, ME14T OF PUBUC 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. r �iti , lMr 8 : Jztv__u; (Street for puposed encroachment) (Owners Name) Phone:&- ` l �7 S-3 k1 purposed encroachment) SIGNED: Date: 1) Name: Address: (S•W: , �° ^ •Gtr `AA) V `L 2) Name:,, �• d- �d ��n t Z_Date: !address: d� / �� .�, 4- RCN, myy Y- S L 3) Name: 9,121 Date: 3-A R' Address: 4) Name: Date:._ Addre�s: S) Name:�,k Date: Address 6) Name: ' Date: Address: Kemper A UNITRIN BUSINESS WM K LYONS AGENCY INC Insurance Provided By P O BOX 319 KEMPER INDEPENDENCE BAKERSFIELD CA 93302 INSURANCE COMPANY Agency Phone (661)327 -9731 5210 Belfort Road - Jacksonville, FL 32256 -6017 Named Insured and Mailing Address Policy Number Policy Period 0000682 SP "SNGLP T92402293304- 715604052 3 08029 UG 359902 Effective: 03 -15 -2008 III II II II III I II I I II II III I I Expiration: 03 -15 -2009 Producer Code 12:01 a.m. standard time at the FRANK MONTOYA 53 -0725 SUZANNE MONTOYA location premises/dwelling. 6104 CHESTER W NIMITZ BAKERSFIELD CA 93304 -7156 POLICY DECLARATIONS - HOMEOWNERS POLICY This certificate continues your policy in force for the policy period shown. It will become effective only if the required premium is paid before the effective date of the Policy Period stated. The required premium will be billed under the Kemper Billing System. Please attach this certificate to your policy. - HOME INFORMATION The residence premises covered by this policy is located at the address below: 6104 CHESTER W NIMITZ BAKERSFIELD CA 93304 COVERAGES Coverage applies only if a premium or Limit of Annual limit of liability is shown for the coverage. Liability Premium SECTION I — COVERAGES • A. Dwelling $ 221,000 $ 671.00 • B. Other Structures $ 22,100 • C. Personal Property $ 154,700 • D. Loss of Use $ 44,200 * Indicates a change was made to your policy AK 5035 (0800) CONTINUED ON REVERSE 0013523 1 0000682 SECTION 11— LIABILITY E. Personal Liability: each occurrence $ 300,000 $ 43.00 F. Medical Payments to Others: each person $ 5,000 DEDUCTIBLE — SECTION I, — In case of loss we cover only that part of the loss over theldeductible stated below: Policy $ 1,000 INCLUDED Total Premium for Endorsements $ 15.00 TOTAL RESIDENCE PREMIUM $ 729.00. 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 for labor and materials in your area, and sp6cific information that you have provided about your home. Payment Expected From: Mortgagee * Indicates a change was made to your policy AK 5035 (0800) CONTINUED ON REVERSE 0013523 1 0000682 �- v B A K E R S F I E L F) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 28, 2008 SUBJECT: Encroachment Permit Application for: 6104 Chester W. Nimitz St. Name of Applicant: Suzanne Montoya Description of Encroachment: 4' high fence made of wrought iron and brick (fence already built) , Please review the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \EN6ROACH \TRAFFIC \6104 Chester W Nimitz.doc � /p 2 / 2 GOg C- z��S7lk(G t= ��-lC6 UGC -- -1 IT o� C titer l-1 1 ITT 15 �u�D N"«KEsfi To���� �4 Ft D yviJ 40 OE 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: March 28, 2008 SUBJECT: Encroachment Permit Application for: 6104 Chester W. Nimitz St. Name of Applicant. Suzanne Montoya Description of Encroachment. 4' high fence made of wrought iron and brick (fence already built) Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\ PERMITS \ENCROACH \INSURANC \Chester W Nimitz.doc • B 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: March 31, 2008 SUBJECT: Encroachment Permit Application for: 6104 Chester W. Nimitz St. Name of Applicant. Suzanne Montoya Description of Encroachment: 4' high fence made of wrought iron and brick. (fence 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. I SAPERMITS \ENCROACH \6104 Chester W. Nimitz St.doc