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
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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
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Special Notes and Comments
Will be installing a maximum 4' tall
chain link fence 4' behind curb.
Rosa Ibel Rivas Garay (661) 496 -3328
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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:
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Address:
26.0 ors �.
3.) Name:
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Address:
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4.) Name:
1`c OSce YO 5" �_ 0 e 027—Cy-
Address:
LE
5.) Name:
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Address:
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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
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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
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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,
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Bahmee Due
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S,if4jetv Federal Credit Union
3960 W- 26th Str!Wt
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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.
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S: \PERMITS \ENCROACH \TRAFFIC\2605 Dore Dr.doc
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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