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HomeMy WebLinkAbout3807 CROSSWIND WYENCROACHMENT 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- 30000060 Date 10/06/14 Property Address . . . . . . 3807 CROSSWIND WAY Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ THAPAR VIJAY K & MEENA 3807 CROSSWIND WY BAKERSFIELD CA 93313 Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . ENCROACHMENT PERMIT Additional desc . , Phone Access Code 1537513 Permit Fee . . . . 208.00 Issue Date . . . . 10/06/14 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Existing fence will be cut down to be no taller than 4' tall around front of yard. A section will also be removed around utility box located on the east side of front yard by driveway gate. Vijay K Thapar 661 - 834 -3498 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due - ---------- - - - - -- ---- - - - - -- --- -- - - - -- --- - - - - - -- - --- - - - - -- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 00 Applica t acknowledges the right of the City Engineer, pursuant to the the Municipal Code Chapter 12.20 to revokehe permit at any time. Ap p l i ca nylOwne r /Agent) od-wv Print Nam 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 dT�T.-4 CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS 'e on date stated above. Additional Terms on the Back s 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): 2390 C K©SSW O06 AY W-42 s C—Le-W CA 9SSI 3 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 ADAY icumAf- '7HAfA COMPLETE ADDRESS: '%U-1 U-0,SS Q i N n SAY PHONE: 661 — R �4 -- S9 9 f' G�eiLsS�1 1� CA 95' 13 FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): W 1, 6(1 (Qt` H 1 l Mi pupc PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE, or OTHER: ( e i CONTACT PERSON V 1-3 0 1 IN MA k PHONE: & ` LA " 5 -1 t r 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 \FNCROACI -I \Encroachment Permit Req Form.DOC Sept, 2013 T M- CA B A X E R S E T B L b Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 TO WHOM IT MAY CONCERN; We the undersigned, have no objection to the construction of a fence b side the sidewalk within the public right -of -way. ray: , e e ('trcet or proposed encroachinent w rs a or (Address of proposed encroachment) SIGNED: 1.) Name: Address: x 1 2.) Name: f( Address: 3.) Name: J (V Address: 4.) Name: Address: 5.) Name: Address: 3 l f 6.) Name:c Address: c?,� uate: Date: A.. ,_, Rk FARMER S Evidence of Insurance for Mortgagee /Other Interests This form is not the contract of insurance. It is a memorandum of coverage limited to mortgagee /other interests, provided at their request and applicable to the dwelling or building at the location below. The provisions of the policy will prevail in all respects. This certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy. Should the insurance policy be cancelled by the company before the expiration date thereof, notice will be given in accordance with the policy provisions. Insured Information Named Insured VIJAY K THAPAR AND MEENA THAPAR Mailing Address 3807 CROSSWIND WAY BAKERSFIELD CA 93313 -4466 Property Address 3807 CROSSWIND WAY BAKERSFIELD CA 93313 -4466 Policy Information Policy Number 960599783 Company Name FIRE INSURANCE EXCHANGE Policy Type SPECIAL FORM DWELLING Policy Status IN FORCE Dwelling Policy Term Effective Date 09/07/2014 Renewal Date 09 /07/2015 Annual Premium 564.17 Balance Due $25.83 First Mortgagee Second Mortgagee /Other Interest Mortgagee Deductible Clause Not Applicable 25 -2960 4.12 Print Date, 09/17/2014 Agent Information Name AMER MOHAMED Address 8730 HARRIS RD UNIT 200 BAKERSFIELD CA 93311 -8989 Phone 661 - 836 -3000 Fax 661 -836 -3003 Email amohamed t, armersagent.com Coverage Information Coverage Limit Dwelling $170,000 Extended Replacement Cost NONE Personal Property $25,000 Personal Liability $300,000 Deductible applicable to each covered loss: $1,000 Loan Number Mortgagee Effective Date Loan Number Mortgagee Effective Date Who Pays President (& A51—) Authorized Farmers Representative • B A I-:: E R S F I E E U PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: October 9, 2014 SUBJECT: Encroachment Permit Application for: 3807 Crosswind Way Name of Applicant: Vijay & Meena Thapar Description of Encroachment: Existing 4' high wrought iron fence all around front yard behind sidewalk. A Section will be removed to keep the utility box exposed in the front yard. Please review the attached encroachment permit and return to me at your earliest convenience. M S: \PERMITS \ENCROACH \TRAFFIC \3807 Crosswind Way.doc D A Imo. E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager - FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: October 9, 2014 SUBJECT: Encroachment Permit Application for: 3807 Crosswind Way Name of Applicant: Vijay & Meena Thapar Description of Encroachment: Existing 4' high wrought iron fence all around front yard behind sidewalk. A Section will be removed to keep the utility box exposed in the front yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANCE \3807 Crosswind Way.doc n { ell Ar NIN i. J -� �`*ya �• s � ,ate w 1 f1 } 4 �s nab t a A �� i rr.fl � t"ysi � � n''_ `�i � ^'- `!`�s-is`�� r � •,'t,� �.1. '{k� �''"Ill�r; +� �'v' ...{s "�"�,"y�3�:, ri 4 x"�v,`�4 s.� ow +C •c k asT 3�' a ' ae ` -_b x' �C S ' r M.,'`.� +3 ,f ''•3': t$ Fr t j '. a''. 1' �, Y- r '�-s t OJ� s 7 fin. �'i.�FA � g h' �'gg�« 4S�` i �G.. '.,;.a;� `P4x� • {�+ � � � �{ �f y " ',� �.��. �1 kn^r>y y 1 i FE . _ NN, 3958 Crosswind Way - Google Maps C;ooQ,lc Address 3958 Crosswind Way Address is approximate UP Page 1 of 1 L https : / /maps.google.comlmaps ?q =3 807+ Crosswind +Way, +Bakersfield, +CA &sll = 35.292... 10/21/2014