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HomeMy WebLinkAbout606 BERKSHIRE RDENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 G�i L 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 . . . . . 19- 30000012 Date 6/24/19 Property Address . . . . . . 606 BERKSHIRE RD Application type description PW - ENCROACHMENT PERMIT Owner - ---------- - - - - - - - - - ---- BENFORD DIANA 606 BERKSHIRE RD BAKERSFIELD CA 93307 Contractor OWNER --------------------------------------------------- ----- -------------- - - - - -- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2377943 Permit Fee . . . . 420.00 Issue Date . . . . 6/24/19 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 420.0000 EA PW ENCROACHMENT 420.00 - ----------------- - - - - - - - - ---- - - - - - - ---- - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - --- Special Notes and Comments June 24, 2019 4:42:36 PM mmendenhal. Existing 4' high wrought iron and brick fence at back of sidewalk. Contact person: Diana Benford 735 -8508 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- --- - - - - - -- ---- - - - - -- Permit Fee Total 420.00 420.00 Grand Total 420.00 420.00 00 .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 Applicot)(Owner /Agent) Qn 0... e 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 THEREFORE (GRANTED) (,DEWED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION 1 CITY OF : WORKS ri PUBLIC DEPARTMENT 1501 TRUXTUN AVE • • i LOCATION OF ENCROACHMENT(Address required where available): n��� �� -� (ZE BD EVE CA 2Sb�l If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF APPLICANT COMPLETE AD APPLICANT INFORMATION FAX: (%i ,, ,, _ CELL: lid+ a q. L Z464 PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): ( kArV� i Rs FE W i n4z C ors e-, PERIOD OF TIME FOR ENCROACHMENT: INDEFIN' OTHER: gyp' CONTACT PERSON 0�, Applicant agrees that if this app." oj"� officers agents and employees ag against them, or any of them, befo of, connected with, or caused by ap, maintenance of said encroachment,'. L� said encroachment or until such time Applicant further agrees that upon the e. revocation thereof by the City Engineer, Dronerty or right of wav where the same i% nearly as that in which it was before the ph, Applicant further agrees to obtain and keep a, however long the encroachment remains. App, evidencing sufficient coverage for bodily injury the insurance required. The type(s) and amount(: ('0 and hold harmless the City, its action or demands, whatsoever of any kind whatsoever, arising out ny other person or entity) or \d encroachment during the life of r(f if granted or upon the way to the condition as ane City Engineer in full force and effect for .,iy Risk Manager with a Certificate of Insurance _.page liability or both and required endorsements evidencing ..,urance 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: $420.00 S :\PERMITS\ENCROACH\Encroachment Pennit Req Form.DOC Aug. 2017 606 Berkshire Rd - Google Maps OO& Maps 606 Berkshire Rd Page 1 of 1 Image capture: Dec 2016 © 2019 Google Bakersfield, California Google Street View - Dec 2016 https: / /www.google.comlmaps /place /606 +Berkshire +Rd, +Bakersfield, +CA +93307/ @3 5.2... 6/11/2019 SAKERSFIEIL Public Works Department 1501 TruxtunAvenue 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 the public right -of -way. (Address of proposed encroachment) SIGNED: 1.) Name Address: 2.) Name: Address: 3.) Name: .- Address: 4.) Name: Address: 5.) Name: Address 6.) Name: Address: ACA 1 A 1 Co, Cw-('SCI v row 14 e \�6 (Owners Name) Phone- • See Signatures needed for approval page Date: \ \� Date: (0 12 Date: (S I f) I I ci Date: Lo L9 " Date: ' zo '(q Date: y Metropolitan Direct Property and Casualty Insurance company r & Home Homeowners Declarations Number: 3115917090 I Term: From 09/08/2018 to /08/20199 12:01 A.M. Standard Time the location of the property lamed Insured: DIANA BENFORD 606 BERKSHIRE RD BAKERSFIELD CA 93307 Page Renewal Effective Date: 09/08/2018 Bill To: Mortgagee First Mortgagee: Loan 223684196 BANK OF AMERICA NA I SAOA/ATI MA PO BOX 961291 FORT WORTH TX 76161 The residence premises covered by this policy is located at: 606 BERKSHIRE RD BAKERSFIELD CA Basic Policy Coverages A - Dwelling B - Private Structures C - Personal Property F - Personal Liability: Each Occurrence G - Medical Payments to Others: Each Person Loss of Use Causes of Property Loss Special Perils Building Property Loss Settlement Extended Loss Settlement Personal Property Loss Settlement Replacement Cost on Contents Additional Coverages Workers Compensation Coverage Optional Coverages Back Up of Sewer, Drain and Sump Pump Coverage $5,000 Limit, $500 Deductible Deductible(s) $500 deductible applies to each loss. Forms and Endorsements: HP1000 0902 HP5100 0105 HP6000 0205 HP7000 0902 H F 1300 0902 93307 Limits $ 400,200 $ 80,040 $ 280,140 $ 300,000 $ 5, 000 $ 100,050 0/05/2018\ ST 04 1 of J Premiums $ 839.00 $ 29.00 $ 10.00 Ind Ind $ 1 ncl R Current Annual Premium: $ HP2000 0205 HP3300 0904 C117CA 0108 HA01CA 0108 MetLife Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and Its affiliates, Warwick. RI. H P4520 0113 HA30CA 0108 16.00 894.00 k Printed in U.S.A. 0298 MPL 1380 -000 Aj L3 Imo. E R S F I E L 17 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III FROM: Michelle Mendenhall, Engineering Tech DATE: July 8, 2019 SUBJECT: Encroachment Permit Application for: 606 Berkshire Road Name of Applicant: Diana Benford Description of Encroachment: Existing 4' high wrought iron and brick fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. SAPERMIMENCROACHURAFFIM606 BERKSHIRE RD.doc 40 B K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager �' FROM: Michelle Mendenhall, Engineering Technician ` DATE: July 8, 2019 SUBJECT: Encroachment Permit Application for: 606 Berkshire Road Name of Applicant: Diana Benford Description of Encroachment: Existing 4' high wrought iron and brick fence at back of sidewalk Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANCE \606 BERKSHIRE RD.doc