HomeMy WebLinkAbout3201 CHEWACAN DRENCROACHMENT 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 . . . . . 14-30000031 Date 4/16/14
Property Address 3201 CHEWACAN DR
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
--------------
------------------------
BURDGE BRIAN J ONNER
3201 CHEWACAN DR
BAKERSFIELD 9A 93309
____________________
Permit . . . ENCROACMENT PERMIT
Additional desc . .
Phone Access Code 1456607
Permit Fee . . 206.00
Issue Date . . . . 4/16/14 Valuation . . . .
Qty unit Charge Per Extension
BASE FEE 208.00
_____S ___________________ ,
Aerial Notes and Comments
April 16, 2014 12:26:18 PM pbloblock .
Construe[ a 6' high concrete block wall
behind sidewalk and face of house on
side yard.
Brian Burdge (661) 706-3945
Fee summary Charged Paid Credited Due
_________________ __________ ------ ____
Permit Fee Total 208.00 208.00 .00 .00
Grand Total 208.00 .200.00 .00 .00.
Applicant acknowledges the right of the City Engineer,
revoke the permit
time.
Signature of plicant (Owner/Agent)
pursuant to the Bakersfield Municipal Code Chapter 12.20 to
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)
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
THEREFOR(\E�\6(�—A_Ni�ER) (DENIED) Said permit shall expire on date stated above.
1( �S -
Signature of City Engineer
Additional Terms on the Back
of e oo,E ENCROACHMENT PERMIT
APPLICATION FORM II
u 'rl o
CITY OF BAKERSFIELD l
� PUBLIC WORKS DEPARTMENT 1 .�
1501 TRUXTUN AVE
c LIFO N BAKERSFIELD CA 93301
(661)326-3724 Fax:(661)852-2012
LOCATION F ENCR CI ENT(Address required where available):—
f-
, ¢ C� R330 9
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection
FULL NAME OF APPLICANT L.3 rrl,v, J eli—5- Ll in -v rsi'=C.
COMPLETE ADDRES/S:�+wrn c.i.. r, PHONE: 60-11 E` F663
Qc -h s �c.t ld to 930 9 FAX: ..
CELL:. 6.6l-
PROJECT INFORMATION
DESCRIPTION OF ENCROACHJJMENT (Exampler Wood or wrought Von fence,_cmrcrme block wall,
planter, etc:): 6-a'�:c_ b�be.�' a(� %O>at Si�,�
PERIOD OF TIME FOR ENCROACHMENT: qNiiFINIT r OTHER:-a-Sa
// (Please Circle)
CONTACTPERSON KSrlr..� ,[D w.�gk' PHONE: 66%-7c)6- S5/S
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.
further agrees that upon the expiration of the permit for which this application is made, if granted or upon the
property or richt 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
Encroachment Permit Fee: $208.00
S:\PERMl7'S\ENCROACH\Encroachment Permit Req Fomn.DOC January 2009
B A K E R 5 F i E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 83301
(661) 326-3724
TO WHOM IT MAY CONCERN
We the undersigned, have no objection to the construction of a fencebeside the sidewalk within the
public right-of-way. Q/�
('.r 11 nt wn Ina sy: 6 r ) am ,
Sueel or propose encroechmeal wtus ame)
A,,4ol cIe,r ms,,, Dr, hone661-!3,-8663
(Address. of proposed encroachment)
1.) Name: _
Address:
2.) Name: _
Address:
3.) Name:
Address:
4.) Name:
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5.) Name:
Address:
5.) Name:
Address:
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APR/16/2014AEO 0940 AM FAX No, P.002
PACIFIC PROPERTY AND. CASUALTY COMPANY
POLICY NUMNER THIS .AMENDED DECLARATION
04 -X -T32-367-0 REP10E9 ALL PRIOR OEOIARATION9 1 ANY, AND .. POLICY PROEM..
POLICY TERM AND ANY ENDORSEMENTS ISSUED TO FORM A PART THEREOF COMPLETES THIS
09-19-2013 7009-19-2014 HOMEOWNERS POLICY
ShRWECIEID. MmE.UH. 44899a0F AND SUBSEQUENT RENENALS
v,enav° AT 12:D1 A.M. (STD) CHANGE. TYPE: MIG
NAMED INSURED AND P.O. ADDRESS
HURDGE, URIAN J
3201 CHEWACAN DR
BAKERSFIELD CA 93309-5478
PREMIUM TO BE PAIL) BY
MORTGAGEE
bl,%H, ,Ufa E INCOEE
PO BOX 7706
SPRINGFIELD OH 455.01-7706
A'AVE CUSTOMER SERVICE, CALL
LARRY CANADAY
Bxvt.Lu vi,... w uxuu�E♦xuc
.COVERAGE A - DWELLING $269,600
COVERAGE B - APPURTENANT STRUCTURES $26,960.
COVERAGE C - PERSONAL PROPERTY $202,200
COVERAGE D - LOSS OF USE $67,400
SUBJECT TO MONTHLY .MAXIMUM OF $5,392
SECTION II
COVERAGE E - PERSONAL LIABILITY (EACH OCCURRENCE) $500,000
COVERAGE F - MEDICAL PAYMENTS TO OTHERS (EACH PERSON) $2,000
THIS POLICY PROVIDES ORDINANCE OR LAW. COVERAGE (THE LESSER OF 25$ OF COV A OR $100,000).
................................... RATING INFORMATION -------------------- .............
CONSTRUCTION: FRAME PROTECTION: 03 ZONE: 20
1 FAMILY DWELLING, BUILT IN 1982. FIRE DIST: BAKERSFIELD
DISCOUNTS: CLAIM FREE, TAT LINE COVERAGE, PROTECTIVE. DEVICE
THE LIMIT OF LIABILITY FOR THIS STRUCTURE ( $269,600) IS BASED ON AM ESTIMATE OF THE COST.
TO REBUILD YOUR ROME, INCLUDING AN APPROXIMATE COST FOR LABOR AND MATERIALS IN YOUR AREA,
AND SPECIFIC INFORMATION THAT YOU HAVE PROVIDED ABOUT YOUR HONE..
FOR CONSUMER INQUIRIES OR COMPLAINTS, CONTACT MARIAN SEALE-SMITH AT 1.800-509-4968.
CITIMORTGAOE INC
ITS SUCCESSORS AND/OR ASSIGNS
PO BOX 7706
SPRINGFIELD ON 45501.7706
LOAN WONDER - 0901016108
02-07 01 $65.00
5678.00 5173.00
09-10-2013
2WD BERN SCHOOLS FEDERAL CREDIT UNION
ITS SUCCESSORS AND/OR ASSIGNS
PO BOX 40490
BAKERSFIELD CA 93364.0490
LOAN NUMBER - 6035370-20
PR3-10-20
$98.00
LARRY CANADAY
d •
B A. k E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II 1
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: April 17, 2014
SUBJECT: Encroachment Permit Application for: 3201 Chewacan Drive
Name of Applicant: Brian Burdge
Description of Encroachment. Construct a 6' high concrete block wall
behind sidewalk and face of house on side
yard.
Please review the attached encroachment permit and return to me at your earliest convenience.
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�er 4e-1�1, �rot�lq�
S:7ERMITS\ENCR0ACMTRAFFICU201 Chewacsn Dr.doc
•
B A I� E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager , �%
FROM: Bob Wilson, Supervisor II, Subdivisions,(
DATE: April 17, 2014 \w
SUBJECT: Encroachment Permit Application for: 3201 Chewacan Drive
Name of Applicant: Brian Burdge
Description of Encroachment: Construct a 6' high concrete block wall
behind sidewalk and face of house on side
yard.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:WERMITSES NCROACH\INSURANCE\3201 Chm..n Dr.doc