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HomeMy WebLinkAbout2630 CLAUDE 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 . . . . . 14- 30000069 Date 11/24/14 Property Address . . . . . . 2605 DORE DR Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ FERRELL DELPHIA 2630 CLAUDE ST RANCHO DOMINGUEZ CA 90220 Contractor ------------------ - -- - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1558592 Permit Fee . . . . 208.00 Issue Date 11/24/14 Valuation . . . . 0 Qty Unit- Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Will be installing a maximum 4' tall chain link fence 4' behind curb. Rosa Ibel Rivas Garay (661) 496 -3328 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---- ------- -- - - -- ---- - - - - -- ---- - - - - -- --- - - - - --- ---- --- - -- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the q rmit 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) SUBSTAKTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL OT CON.STI UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTE ) (DENIED) Said permit shall expire on date stated above. Signatu • of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): <�k?�.�.1P✓' If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT <c)5 , '',,�{�EJ A\J S Cn 1V- A,,q COMPLETE ADDRESS: ',� 5 `T"In — ' 1P- -Z\/E PHONE: FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): chr ac1"1 tji,, K J;F CC PERIOD OF TIME FOR ENCROACHMEN • INDE ITE FIN OTHER: (Please trcle) CONTACT PERSONIP4 � � � \� ��� i�,—j� ( iT PHONE: Ual 1 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 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 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 evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $208.00 S:\ PERMITS \ENCROACI -I \Eneroachment Permit Req Fomi.DOC Sept. 2013 B A I< E R $ V I E L D Public Works Department 1501 Truxtun Avenue Bakersfleld, California 93301 (601),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. oAq( troet for propose encroachment) Owners erne) (Address of proposed encroachment) SIGNED: 1.) Name: 4 Address: Tmre c- 2.) Name: ' i nc, ----- ---- -- Address: 26.0 ors �. 3.) Name: _ly�d,cr 4 Address: 1,y6 Q • - ,r-, 4.) Name: 1`c OSce YO 5" �_ 0 e 027—Cy- Address: LE 5.) Name: +�%�tt� (I�.s'� /% o Address: :r� ' l__�ifLe- ). L F.) Name: L - M�a Address: _Z4 I �,, :;:k Date: !11 Date: Date: -7 Date: �Z C7 /,._ Date: Date: Tel Evidence of Ins . uratice f0'r MOrtgagee/other lntereW A FARMER5 proyided at jAdIM of c6vera, _ its uteri 10 mortga�Ther the. r It 1� a `e,�' �0,traa of insurance. c.jow, The p r0Vj5j0nF Of the Will preVA in ftu -�IiS f01TD IS nQt jwellirq, c lbmtion b the 'I" their request anct L.Pplicable to' th, or b,uildirig at d' xtend,'or 21-ttv thezovc'W aFf"ded by alspc�cts. This ccrcifj,;-J[0 of insvm dcx�s not .6jimiatively or 1"PtiYely amend, j.]�,Suj�jncc POW Agem T%qf owl Name Chan inst aw- A 01 W, Named In—,-a le WMaR AA&,m 17 Ofivc Sufte 4226 Ro--.al Rivas (11MY, A Sin, Bk,,�WdXA9�101 661-377-3W9 Mailing Ad&,:Ss 2(4J5 E)OM Dr_ Sal CA 93�04 Property AAdm'- 2605 DOM Dr, . fi6id, CA rM4 pker, a -------- Pouq Informfio utdit Palley Nmb,, 953626$0 176.000.W 17,60 (1 1C,oMp1-dY'Xamc Farmers suudxwo 132,Ml -P,rSOXMI Property 300101)() P.Ik-y Typr Howemag-'ts P.-sowl lbbgrcy 70.400 P,bji,,-Y betas poli,q Term Effwd— Daft IU1i512i3I4 Lo&-, Of Lisa GtK-at Mtdic;g 1,00 Rr=ewal Date 10115/2!)15 69L74 125% Aim,A P-Mium .'74 2,500 Bahmee Due Doducabld 1,;IuN"beir 7000I1486 �- bays Mortgagee First Mortswe S,if4jetv Federal Credit Union 3960 W- 26th Str!Wt cluco�pl m 60623 Secmd McdrPe/Other hdereg Progded 4UBMNS Endorsement included u 100'd 0100 09:8L 1-fl M � 100% Post Consumer Fibir, C) B A K E R S F I E L E) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: November 26, 2014 SUBJECT: Encroachment Permit Application for: 2605 Dore Dr Name of Applicant: Delphic Ferrell Description of Encroachment: Install a maximum 4' tall chain link fence 4' behind the curb. Please review the attached encroachment permit and return to me at your earliest convenience. 0- k- wr S: \PERMITS \ENCROACH \TRAFFIC\2605 Dore Dr.doc } D A I<: E Fes. S F I E L L� PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager NAB/ FROM: Bob Wilson, Supervisor II, Subdivisions DATE: November 26, 2014 SUBJECT: Encroachment Permit Application for: 2605 Dore Dr Name of Applicant: Delphia Ferrell Description of Encroachment: Install a maximum 4' tall chain link fence 4' behind the curb. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANCE\2605 Dore Dr.doc 2607 Dore Dr - Google Maps C;oc)(Ylc Address 2607 Dore Dr Address is approximate Page 1 of 1 https: / /maps.google.com/maps ?q= 2605 +dore +dr &sll = 35.330908, - 119.009621 &cbp =l 3,2... 12/18/2014