The URL can be used to link to this page

Home My WebLink About2205 KELSO PEAK AVEBAKE ENCROACHMENT PERMIT J' en CITY OF BAKERSFIELD v d PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE 7, s BAKERSFIELD CA 93301 LIFO (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 . . . . . 15-30000025 Data 6/30/15 Property Address 2205 KELSO PEAK AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor INGRAM RAYMOND L OWNER 2205 KELSO PEAK AV BAKERSFIELD CA 93304 --------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 1667130 Permit Fee 208.00 Issue Data . . . . 6/30/15 Valuation . . . . Qty Unit Charge Per Extension EASE FEE 208.00 ___ Special Notes and Comments Will Construct a 4' high wrought iron fence around front yard behind sidewalk. On west side of property, between 2205 & 2209 Kelso Peak will put the fence 1e-12from face of curb She to utility Vaults. Pay Ingram (661) 703-9026 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Applican0&Rk'r g,Q @Yges the rkHf 0 the CAy:&° gineer, P.y0obsuant to t60 Bakersfield Municipal Code Chapter 12.20 to re ke the permit at any time. Signature of Applicant (Owner/Agent) Print Narne 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) $aid permit shall expire on date stated above. Signature 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)326-3924 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): 15-3 If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF COMPLETE ADDRESS: 120S- KLICO rc YK Rr PHONE: 6A c133 -)V FAY: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): PERIOD OF TIME FOR ENCROACHMENT:INDEFINITE or OTHER: \ny (Please Ire e) CONTACT PERSON J -� IA— PHONE: GGI- 70�- r}62d 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, orjudicial 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 noon 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 beforethe 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\ENCROACH\Encroachment Pennil Req Fom,I)OC Sept' 21113 • B A K E R S F I fi L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (651)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. XA- By: 21 tj 0-J j*t" . iwrct, for proposed �e�l`,oaclunenl wners ame} nr 2.2.6 f �tbia %03- %o 2 6 (Address of propased enerpechmenr) SIGNED: 1.) Name: Address: 2.) Name: Address: 3.) Name: Address: 4.) Name. Address: 5.) Name: — v' ) Address (IJQo� L P ee I— 6.) Name: Address: em. Date: Date S - :-Z—/ 5 - Date. Date. Date: Date: 0 —dS-rt CONTINUATION DECLARATIONS The limit of liability for the structme (coverage A) is based on the estimate of the cost to rebuild your Tome, including an approximate cost for labor and materials In your area, and specific information that you mob presided about your Tome. NAME INSURED AND ADDRESS INGRAM,. RAYMOND L. HOMEOWNERS POLICY POLICY NUMBER: HA 0021327194-7 ACCOUNT NUMBER: 974765031 Policy Period From: 05-05.15 To: 05.05.16 12:01 A.M. Standard Time BAKERSFIELD, CA 93304-6900 The described residence premises covered hereunder is located at thePREVIOUS POLICY NUMBER HA 0021327194-6 above address, unless otherwise stated herein. (NO., street, city, state, Zip code/ WELLS FARGO BANK NA #936 ISAOA PO BOX 100515 FLORENCE, SC 29502-0515 SECTION I AMCO INSURANCE COMPANY A. DWELLING 1100 LOCUST ST C. PERSONAL .DES MOINES IA .50391-1100 E. PERSONAL (800) 282-1446 AGENCY CALIFORNIA INS SPECIALISTS PROPERTY BAKERSFIELD CA CONTINUATION DECLARATIONS The limit of liability for the structme (coverage A) is based on the estimate of the cost to rebuild your Tome, including an approximate cost for labor and materials In your area, and specific information that you mob presided about your Tome. NAME INSURED AND ADDRESS INGRAM,. RAYMOND L. HOMEOWNERS POLICY POLICY NUMBER: HA 0021327194-7 ACCOUNT NUMBER: 974765031 Policy Period From: 05-05.15 To: 05.05.16 12:01 A.M. Standard Time BAKERSFIELD, CA 93304-6900 The described residence premises covered hereunder is located at thePREVIOUS POLICY NUMBER HA 0021327194-6 above address, unless otherwise stated herein. (NO., street, city, state, Zip code/ WELLS FARGO BANK NA #936 ISAOA PO BOX 100515 FLORENCE, SC 29502-0515 SECTION I SECTION II A. DWELLING B. OTHER C. PERSONAL D. LOSS E. PERSONAL F.MEDICAL PAY STRUCTURES PROPERTY OF USE LIABILITY EACH PERSON H03. 01/00 Special Form acruAL Losses SUSTAINED 745.00 H0216 12747 259,200 25,920 1 981,440 1 tRur4os. 1 300,000 1,000 FOR LOSSES ARISING UNDER SECTION I, WE WILL PAY ONLY THAT PART OF THE LOSS IN EXCESS OF $1,000. COVERAGE DESCRIPTION PREMIUM COVERAGES DESCRIPTION PREMIUM BAST H03. 01/00 Special Form 745.00 H0216 12747 01100 12101 Prem Alarm Prot Fungi/Bacteria 43.00CR H090 05102 Calif Work Comp 12559 02107 Per Prop Repl 12567A 02107 - Replacement Cost 43.00 11796 07111 CA Res Prop Dis 438BFUN 05/42 Lenders Loss Pay IN2004 03/04 Consumer Info IN2264 03/06 Merit Rating 10940 07189 CA Ins Guarantee IN2499 10108 Important Notice IN0000 04/09 Privacy Stmt IN0100 01/10 Important Notice H0300CA 10114 Spec Provisions IN2695 10114 Important Notice TOTAL PREMIUM 745.00 Additional Residence Occupied RETENTION CREDIT By Insured Morticane Loss Payee or Other Interest Loan Numberl 0352930838 WELLS FARGO BANK NA #936 IST SAIDA MORT PO BOX 100515 FLORENCE, SC. 29502-0515 AMCO INSURANCE. COMPANY Authorized Representative DIRECT BILL 0000 15074 023977 INSURED COPY 974765031 78 I� F R 5 r I F L T) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 31, 2015 SUBJECT: Encroachment Permit Application for: 2205 Kelso Peak Ave Name of Applicant: Raymond L Ingram Description of Encroachment: 4' high wrought iron fence around front yard behind sidewalk. On west side of property between 2205 & 2209 Kelso Peak the fence will be 10'-12' from face of curb due to utility vault. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S-,WERMIMENCROAOHMNSl1RANCE=05 Kelso Peak Ave.doc E R S F I E I.y PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 31, 2015 SUBJECT: Encroachment Permit Application for: 2205 Kelso Peak Ave Name of Applicant: Raymond L Ingram Description of Encroachment: 4' high wrought iron fence around front yard behind sidewalk. On west side of property between 2205 & 2209 Kelso Peak the fence will be 10'-12' from face of curb due to utility vault. Please review the attached encroachment permit and return to me at your earliest convenience. S? PERMITSTNCROACH\TRAFFIC1 205 Kelso Peak AveAoc