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HomeMy WebLinkAbout2605 DORE 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 , . . , . 14-30000069 Date 11/24/14 Property Address 2605 DORE DR Application type description PW - ENCROACHMENT PERMIT Owner on r ________________________ __ _ FERRELL DELPHIA OWNER 2630 CLARIE ST RANCHO DOMINGOEZ CA 90220 Permit ENCROACHMENT PERMIT Additional dead . Phone Assess Code 1552592 Permit Fee 208.00 Issue Date 11/24/14 Valuation 0 Qty NSIL Charge Per Extension BASE FEE 208,00 SpECial Not,S and Comments Will be installing am 4 tall chain link fence 4' behindcurb. Rosa Ibel Rivas Garay (661) 496-0320 Fee &vmmary Charged PaidCredited Dv Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208. 00 .00 .OB Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke th rmit at any time. /' V SO/l J 9i�✓,'/!1 WG✓�V Signature of Applicant (Owner/Agent) 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 Q L0- C UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTE ) (DENIED) Said permit shall expire on date stated above. Signatu of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 6661)326-3724 Fax: (661) $52-2012 LOCATION OF ENCROACHMENT(Address required where available): A)epf-) -pp(I�C— 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 Po -):5,2 COMPLETE ADDRESS:t�]ff SSV(; PHONE: �rt�IPZC�tF'�D rl, L'I"lao Gl FAX: CELL: PROJECT INFORMATION T DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.)`. C*Vx to tip, �'• MICE 1, '^, •- PERIOD OF TIME FOR ENCROACHMENINDEFINITE OTHER: (Please vc e} / ,� CONTACT PERSON,_ �:J1ML I I{'�C� AV�Ptl ��(d PHONE: d 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 timethat 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 evocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the Public p onerry 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:\PnRMITSU)NCItOAC11\En..hmem ('¢emit Req Form.DOC. Sept. 2013. B A K B R 5 F i E L D Public Worko Department 1501 Trumun Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk Within he public right-of-way. (J15 T)LNDe- 1J� 'uml%r propo0d f �'IC('F�l !u�ncoa<mnent /�y oF%4" ) � (Address of p,oposod enoronchmeno) SIGNED: M-11=0110 iai /1 i.,Rolr 1.) Name: T1,fYY,tK-f (SYfJ Address: mpg owre 2.) 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Lletz �.l",., .. vzuixlSeCi .vcuac;:i .. H;il:>ucr. t3tte '.S4:UCIZ';ix _,SYS —_'— 3.xn xaom6cr rOVOtrt1£+= EtY51 � R'W� Efhcu.P S}am 5� ISrzosa ':xl, =ile1� Feak,:il C:v:.,t Cr",n 3eor<d �e+�gu9eelL°lhes kste;esi M,fpgee BedavTa(e flm se- e�s� a3NISFUNS Euduix�cent 5lacioii<d - a Rmdur�ed fmxne Rey+ascePn6+a d _353k 11, 0i , .. _. Good Morning Good Afternoon I Good Meeting ,lw+rr �aA4 N ` T W4T t4(ltky M >P:S +SII J n bn i 'T q-):4 1� TT''�� o�4>�, 100°/o Pon Consume�Fib r �� I E R S F T E L. D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: November 26, 2014 SUBJECT: Encroachment Permit Application for: 2605 Dore Dr Name of Applicant: Delphia Ferrell Description of Encroachment: Install a maximum 4'tall chain link fence 4' behind the curb. Please review the attached encroachment permit and return to me at your earliest convenience S:\PERMITS\ENCROACH\TRAFFICV605 D. Dr d.c • B _A, I> E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor ll, Subdivisions DATE: November 26, 2014 SUBJECT: Encroachment Permit Application for: 2605 Dore Dr Name of Applicant: Delphia Ferrell Description of Encroachment: Install a maximum 4`tall chain link fence 4' behind the curb. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S TFRMITMENCROACHUNSURANCE�606 Dore Drdoo