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Home My WebLink About2322 18TH STENCROACHMENT PERMIT off,=Bro^KERs J' CITY OF BAKERSFIELD a PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE O BAKERSFIELD CA 93301 L/F0 (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 . . . . . 14-30000047 Date 6/25/14 Property Address 2322 18TH ST Application type description PW - ENCROACHMENT PERMIT owner Contractor ---------------"_------- POH DAVID T & JANELLE J OWNER 2322 18TH ST EARERSFIELD CA 93301 ----____-----------------------------_-__ Permit . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code . 1488451 Permit Fee . . . . 208.00 Issue Data . . . . 6/25/14 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FES 208.00 ---------------------------------------- -------------------------- -------- Special Notes and Comments Replace wooden fence with wrought iron fence, including gate for walkway and drive way. Fence will be right behind sidewalk about 11' behind curb. David Gob 549-7503 Fee summary Changed Paid Credited Due ----------------- ---------- ---- ----- ---------- ---------- Permit Fee Total 208.00 208.00 AO .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 permit at any time. Signature of Applicant (Owner/Agent) Print Name i 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) CO A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFOR G NT (DENIED) Said permit shall expire on date stated above. 1�% Signature �,, of City Engineer Additional Terms on the Back B a -4, C� IF'Cd"- r•,:y APPLICATION FORM 01 Y OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301. (661)326--3724 Fax:(661)852-2012 LOCATION OF ENCROACIL@IENT(Address required where available): If there is no address adjacent to work describe limits of work by distances front nearest existing street intersection. APPLICANT INFORMATION FULL NAME. OF APPLICANT '�1 aria Ge r'x COMPLETEAIDDRHSS: 2102 18h. �L -- PHONE; -6 L,.I- 4s--IT07 ---- QW CA FAX: C CELL: 5-j-')So'1 PROJECT INFORMATION DESCRIPTION� OF ENCROACHMENT (Example: Wood or \Tough[ iron fence,.amerete-block wall, raised planter -etc.): `',¢��aG Woee�,,, 4¢r ta, � 1.1.SWY tCe,n :., C¢ y.,,nc�u.J:.x�• PERIOD OF TIME FOR ENCROACIIMEN' INDEFINITE r OTHER: uce) CONTACT PERSON 1,]111 (q V1 PHONE: Ut1 cl l -'-7'5 �� 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, orjndicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant's placement, erection• use thy 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 revocation thereof h the City Engineer, applicant will at his own cost and expense remove the aame from the public orooert_or_right of way where the same is located, and restore said public property or right of a -a-. to the condition as nearly as that in which it was before the placing, erection, maintenance or existence of said eneroichment. Applicant further agrees to obtain and keep all liability insurance required by the City Engineer it full force and effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a Cvnilicate of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The tvpe(s) and antount(s) of insurance coveragerequired are: Residences; Homeowners General Liability coverage in an amount of at least $300.0110.00 Commercial: Commercial Liability coverage in an amount ofat least $1,000,000.00 Encroachment Permit Fee: $208.00 S �PL'RMffSll NCROACHiEncroachment Permit Req Form AOC January 2009 E aK E R B F t E L D Public Works Department 1561 Truxtun Avenue Bakersi eW, California 93301 (661)326.3724 TO WHOM IT MAY CONCERN V'de the undersigned, have no Objection to the construction of a Fence beside the sidewalk within tie pubuC right -Of -way. 2L -Z --Z— l8Ii-- S�r BY. '� . J Y GW 777, fo: proposed m;croechmenli { wners Name) a e 6f t Sk4-15 _ (Aurcss CC pnepolr ancronchme,u) t) tdame'. Date: Address: 2.) Varve: � Date: Ad -cress: - 3.i Name: Address: c ` 4.) Name: 1 y(�f (�J Date: Atldre s: 041 5.) Name'. 11II S Date: Acdress: — e:) Name. Date: Address: PREMIUM NOTICE STATE FARM INSURANCE COMPANIES AGENT ISSUED DECLARATIONS POLICY NUMBER BILLING PERIOD I AGENT CODE 87 -BG -H932-1 FROM 10/10/2.013 1 TO 10/10/2014 I 3173 LOCATION 2322 18TH ST BAKERSFIELD, CA 93301-3506 INSURED GOH, JANELLE & DAVID 2322 18TH ST BAKERSFIELD, CA 93301-3506 MORTGAGEE WELLS FARGO BANK NA #93.6 ITS SUCCESSORS AND/OR ASSIGNS PO BOX 100515 FLORENCE, SC 29502-0515 Loan Number: 0335770137 PREMIUM $ 1,055.00 AMOUNT PAID $ 1,055.00 AMOUNT DUE $ .00 AGENT NAME & ADDRESS SCHEIDLE, JEREMY DANIEL 2017 24TH ST BAKERSFIELD, CA 93301-3814 (661)861-9797 STATE .FARM INSURANCE COMPANIES 900 OLD RIVER ROAD BAKERSFIELD CA 93311-9501 DECLARATIONS We will provide the insurance described in this policy in return for the premium and compliance with all applicable provisions of this policy. 87 -BG -H932-1 Policy Number Named Insured and Mailing Address. GOH, JANELLE &.DAVID 2322 18TH ST BAKERSFIELD, CA 93301-350.6 (Coverage afforded by this policy is I (provided by: I i (STATE FARM GENERAL INSURANCE COMPANY 1900 OLD RIVER ROAD ] IBAKERSFIELD CA 93311-9501 I IA Stock Company with Home Offices in I 1Bloomington,Illinois. ------------------------------------- The Policy Period begins and ends at 12:01 a.m. Standard Time at the residence premises. 10/10/2013 Effective Date 12months-Policy Period 10/10/2014 Expiration of Policy Period Limit of Liability - Section 1 $ 1419,500 Dwelling (Coverage A) Policy Type Homeowners Policy Dwell Repl Cost - Similar Construction Increase Dwlg Up to $63,900 - Option ID Location of Premises 2322 18TH ST. BAKERSFIELD, CA 93301-3506 Forms, Options, FP-7955.CA LSP Bl OPT OL OPT HC S Endorsements Automatic Renewal - If the Policy Period is shown as 12 months, this (policy will be renewed auto- Imatically subject to the premiums, [rules and forms in effect each [succeeding policy period. If this (policy is terminated, we will give lyou and the Mortgagee/Lienholder ]written noticein compliance with [the .policy provisions or as (required by law. I ----------------------------------- Deductibles - Section 1 $1000 [ALL LOSSES In case of loss under [this policy, the deductible will be (applied per occurrence and will be (deducted from the amount of the [loss. Other deductibles may apply I- refer to your policy. IPolicy Premium $1,055.00 HOMEOWNERS POL LSP Al SMLR CONST -A LMT RPLC COST -B OPT ID COV A -INCA DWLG BLD ORD/LAW-108 FE -1313 LNDR LOSS PAY H COMP 10000 FE -3422 HO -W POL END Mortgagee WELLS FARGO BANK NA #936 ITS SUCCESSORS AND/OR ASSIGNS PO BOX 1005.15 FLORENCE, SC 29502-0515 Loan Number: 0335770137 ---------------------------- Prepared: June. 23., 2014 I Agent Name& Address I SCHEIDLE, JEREMY DANIEL 1 2017 24TH ST I BAKERSFIELD, CA 93301-3814 (661)8.61-9797 I I I 3173 Agent's Code \SAS , S (-eg-i r' ,E -�L B A K E R S F I E L 17 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 27, 2014 SUBJECT: Encroachment Permit Application for: 2322 18' Street Name of Applicant: David & Janelle Goh Description of Encroachment: Replace wooden fence with a wrought iron fence, including gate for walkway and drive way. Fence will be right behind sidewalk about f l' behind curb. Please review the attached encroachment permit and return to me at your earliest convenience. 71oz10,0« d �• cr?' wGCA rra[G+tT aP reNC — 5tf9k E�`cEC-D �' F(�a Pr-�`vu,vG-" E�cvyTicN, �P S:PERMITSIENCROACHVRAFFIC�32218th Stdoc B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager ,1 V FROM: Bob Wilson, Supervisor II, Subdivisions viisiions DATE: June 27, 2014 SUBJECT: Encroachment Permit Application for: 2322 18'h Street Name of Applicant: David & Janette Goh Description of Encroachment: Replace wooden fence with a wrought iron fence, including gate for walkway and drive way. Fence will be right behind sidewalk about 11' behind curb. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:VERMITS�NCROACMINSURANCEt282218th Stdoc