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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: Address:` 5.) Name: Address: 5.) Name: Address: AJ 3zo� c� Al\,5 ck. 9-1,:�-t� 1 � r Date: Dsr Date: Date: I t L, I Date: 9-1,:�-t� 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. �I2r/Z- j �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