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Home My WebLink About07-30000014 ENCROACHMENT 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 . . . . , Property Address , , . . . , Application type description 07-30000014 Date 2608 CAMEO CT PW - ENCROACHMENT PERMIT 4/18/07 Owner Contractor PORTER HERMAN L & JEANNETTE A 2608 CAMEO CT BAKERSFIELD CA 93304 OWNER ---------------------------------------------------------------------------- Permit . , . , . Additional desc . Phone Access Code Permit Fee . , . Issue Date ENCROACHMENT PERMIT 665869 150.00 4/18/07 Valuation o Qty Unit Charge Per 1,00 150.0000 EA PW ENCROACHMENT Extension 150.00 ---------------------------------------------------------------------------- Special Notes and Comments Build fence out to the sidewalk and pave area to the sidewalk. contact Herman Porter 343-3212 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150,00 150,00 ,00 .00 Grand Total 150.00 150,00 ,00 ,DO 110: "-~-~ Applicant acknowledges the right 0 he City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any, . me. ~ Signature of Applicant (Owner! Agent) y. J.t. r rl1 4 VI Print Name A r -It! v I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FAcrS 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) A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO NIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back Applicant agrees that if this application is granted, applicant shall indemnify. defend, and hold harmless 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 or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant. or in any way arising from, the terms and provisions of this permit or the placement. use (by applicant or any other person or entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful misconduct The applicant further agrees to maintain the aforesaid encroachment during the life of the 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 by the City Engineer, applicant will at his own cost and expense remove the same from the public property 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 issuance evidencing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. I have read and acknowledge the above. _Applicant's Initials ~ ~ . _ /7... c... ~ 0/2.") ~ - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 9, 2007 SUBJECT: Encroachment Permit Application for: 2608 Cameo Ct. Name of Applicant: Porter Herman & Jeannette A Description of Encroachment: Build fence out to sidewalk and pave area behind sidewalk- fence will be 5'5" high. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build fence out to sidewalk and pave area behind sidewalk. The applicant has provided proof of appropriate insurance coverage to Risk Management, and has provided signatures of all immediate neighbors stating that they have no objection to the proposed construction. Based on their review, staff recommends approval of the permit. S:\PERMITS\ENCROACH\260B Cameo Ct.,doc 07- /LJ ~ . ~ Bi\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 19, 2007 SUBJECT: Encroachment Permit Application for: 2608 Cameo Ct. Name of Applicant: Porter Herman & Jeannette A. Description of Encroachment: Build fence out to sidewalk and pave area to the sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 4/tp/ U07 ~~ ~(~~ rA~f S:\PERMITS\ENCROACH\TRAFFIC\2608 Cameo Ct"doc ~ . - OB i~. K E R S FIE L D PUBLIC WORKS DEPARTMENT MEMORANDUM FROM: Ralph Korn, Risk Manager \JU It\. U \t ~ 0eY1l\ ()J ty Marian P. Shaw, Civil Engineer IV, Subdivisions . D ' TO: DATE: April 18, 2007 SUBJECT: Encroachment Permit Application for: 2608 Cameo Ct. Name of Applicant: Porter Herman I & Jeannette A. Description of Encroachment: Build fence out to sidewalk and pave area to the sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC'-Insurance memo,doc ~'I.i j.....q ~~;lj~ 's,ji.e-C Jr. $' :s &j ....tIij i .~ APPLICATION FOR ENCROACHMENT PE~\1IT . 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, er~t, .use and ~~ain an en~ro~c~ent ~n pu~lic prop~rty .o~ right-of:'i1 as therein defined. 1. Full name of aoolicant and comolete address includin2PJlpne nwnber: 3 4:3 - s )../l. It!tI# 'W1t:t "'" ~. -r~ ~d .~ ",,-p J..} e 1e>,. -I e~ :z ,,"0 ft f ~ ~l!'~ e.,-f, 2. Nature or description ofthe encroachment for which this application is made: , _ . . . tn, 0 11 ~ F<= ~ ~ P f>t..c.. +- or I ~ aJ, ,4,. ~It.. TfJ' ~ ~ R .~; j,' ~~ U-. - ,..... . " 3. Locatioll of the proposed encroachment: G e. \;'tot' I; he. _0..0 ., - 4. Period of time for ~hich the encroaclunent is to be maintained: l -. . . Applicant agrees that if this application is granted, ap'plicant shall indemnify, defend and hold hannless City, its officers, agents and employees against any and aIlliablhty. claims, actions, causes of action or demands, whatsoever against them, or any pfthcm, before administrative, quasi-Judicial, or judicial 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 tlie aforesaid encroachment during the ~ifc of.said encr~ac~ent or 1;U1til suc~ time that this pe~t is ~ev?ked. .: " ..'.. . . ' Applicant' ~rther agrees that upan.th~ expiratio~ ofth~pCrin!t far which this application is made, if granted, or'YI1Qn the revocatIon thereofbv the Cltv en21neer. aooltcant w1l1 at his own cost and exoense remove the same from the Du~)ic urooert~ or right of way where the same is located, and restore said public property or ri2ht of way to the condition as near y as that in which it was before the placing, erection, inaintenance or existence or 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 evideI:1cing 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 is: .. " . ~. Applicant ackno.wledges the right of the City Engineer. pursuant to~&Isersfield MunicipaLCgd revoke the pernut at any time. '. .. . Date: ~ ,1- eJ 7 PER.'\llT I HEREBY CERTIFY THAT I HAVE MADE A.."l INVESTIGA nON OF THE F ACTS STATED IN THE FOREGOING APPLICATION A.l.~D FIND TIL-\T THE MAINTENAl.~CE OF SAID ENCROACHMEN1' (1) WILL (NOT) SUBSTA.L~TIALL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO BE LOCATED A.1'ffi (1) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRA.'lTED) (DENIED). SAJ;D PERJ.'\IIT SHALL EXPIRE Date: ,~Vl L/ 19nature of City Engineer No. It{ Citv of Bakersfield ~** CUSTf*;tR RrCFIPT *** Goer: PIle TVp8: OC j}l'i1W?i"~ 1 Date: 4/iBiO? 21 Recpipt. no: 109208 Oesch nt. i Ori Qu ;nti. t 'if 2u07 30000014 ' BP BlH'-DIt~G PEfI.MITS 1. (!(! TprJder detilil r:J: CHECI{ Total te7Idei'el1 Tc.tal prymerlt ;9~::2 Trarls date: 4-/!8/07 SUriMfR HEAT J5 HERf: PLEASE DO NOT U;:.AVE YllUR PETS Iii! yOUR CAR FOR t\jE~J f: n~H l4mmS hmQiJrd.: $i:10,OO ~l5(1.0(J W5(J.(r.) $1~(J.OO Time; 8152:59 -' . CITY OF. BAKERSFIELD DEPARTMENT OF PUBLIC WOR~S :. TO WHOM IT MAY CONCERN: We the undersigned I have no objection to the construction of a fence beside the sidewalk within the public right of way. a e ~ J 1" '<) P (Street for puposed encroachment) Bv: 4 r t?'\a YI ~ :r:..a. VI Y\ e H~ -tr4cr-, (Owners Name) of Phone: ? ~ 1.. "Ii/- t::t B' (Address of purposed encroachment) SIGNED: 1) Name: Address: 2) Name: Address: . 3) Name: Address: 04) Name: Address: 5) Name: Address: Date:JLJ' ~t:flAtt' r 'D~te: I D {-z..:zlb(b ~u'). ~r~Q C> (a ~ . ~~.. 27/9~~k/?~ . Date: ~ ~C -0 7 Date: 1/ - b~O "7 Date: LJ - s:.o , Date: 4:- 5-' oj 6) Name: Address: d-~ol COfMo - ~ I ) 1 \ ;Kl " Gem I; Vi (. 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RENEWAL ming a part of Policy Number: FM 9784645 Coverage Is Provided In PEERLESS INSURANCE COMPANY - A STOCK COMPANY Named Insured: PORTER HERMAN (INDIVIDUAL) PORTER JEANNETTE (INDIVIDUAL) REFER TO NAMED INSURED SCHEDULE Agent: WALTER MORTENSEN INSURANCE ~ Golden Eagle ~ InsuranceT" Member 01 Libert}" MUlual Group Agent Code: 4293086 Agent Phone: (661)-834-6222 FARM PROPERTY COVERAGE FORM DECLARATIONS LOCATION OF PREMISES Loc. No. Address Of All Premises You Own, Rent or Occupy Township, Nearest Town, Road, Section or Civil District, County, State 001 2608 CAMEO COURT BAKERSFIELD CA 93304- 003 8523 FULLER DRIVE BAKERSFIELD CA 93307- . COVERAGES PROVIDED Loc. No. Bldg. No. Coverage Limit of of Insurance Covered Causes of Loss 001 001 161,935 1 6 , 1 94 SPECIAL SPECIAL 001 DWELLING (REPLACEMENT COST) $ 001 OTHER PRIVATE STRUCTURES $ APPURTENANT TO DWELLINGS (REPLACEMENT COST) 001 HOUSEHOLD PERSONAL PROPERTY $ (ACTUAL CASH VALUE) LOSS OF USE DWELLING (REPLACEMENT COST) OTHER PRIVATE STRUCTURES APPURTENANT TO DWELLINGS (REPLACEMENT COST) 001 HOUSEHOLD PERSONAL PROPERTY $ (REPLACEMENT COST) 003 001 LOSS OF USE * If farm product is only in the open, so indicate. *"' If building has supplemental heat. .f "poultry" are in unheated buildings, so indicate. MORTGAGE HOLDERS I LOSS PAYEE: REf'ER TO ADDITIONAL INTERESTS SCHEDULE 001 113.355 SPECIAL 001 003 003 001 001 001 $ $ $ SPECIAL SPECIAL SPECIAL 32,387 156,600 1 5 , 660 003 109,620 SPECIAL $ SPECIAL 31,320 19-4 (01/01) INSURED COpy Coinsurance/ Special Loss Settlement 80% 80% 80% 80% 80% 80% 80% 80% Inflation Guard NONE NONE NONE NONE NONE NONE NONE NONE 10/09/2006 9784645 NEUSXEA T3108 PGDM060D J21256 GCAOPPN 00008642 Page 37 FARM PROPERTY COVERAGE FORM DECLARATION (continued) DEDUCTIBLE: $ 500 FORMS AND ENDORSEMENTS Forms and Endorsements made a part of this policy at time of issue: Form Number 17 -59FRP 0101 FP0012 0198 FP0090 0198 FP0461 0198 FP1060 0198 FP1211 0198 I L0940 0102 19-4 (01/01) 10/09/2006 9784645 . Description FARM PROPERTY COVERAGE FORM DECLARATIONS EXTENSION FARM PROPERTY-FARM DWELLlNGS,APPURTENANT STRUCTURES & FARM PROPERTY-OTHER FARM PROVISIONS FORM-ADDL COV,COND SCHEDULED PERSONAL PROPERTY CAUSES OF LOSS FORM-FARM PROPERTY LOSS PAYABLE PROVISIONS EXCLUSION OF TERRORISM (WITH LIMITED EXCEPTION) Date Issued: 08/30/2006 . . INSURED COpy NEUSXEAT3108 PGDM060D J21256 GCAOPPN 00008643 Page 38 RENEWAL ~ Golden Eagle ~ InsuranceT. ;. Member 01 Libert}' Mutual Group ing a part of Policy Number: FM 9784645 Coverage Is Provided In PEERLESS INSURANCE COMPANY - A STOCK COMPANY Named Insured: PORTER HERMAN (INDIVIDUAL) PORTER JEANNETTE (INDIVIDUAL) REFER TO NAMED INSURED SCHEDULE Agent: WALTER MORTENSEN INSURANCE Agent Code: 4293086 Agent Phone: (661)-834-6222 COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS LIMITS OF INSURANCE Damage To Premises Rented To You Limit Medical Expense Limit $ 1,000,000 $ 100,000 Any One Premises $ 5,000 Any One Person $ 1,000,000 Any One Person or Organization $ 1,000,000 $ 25,000 $ 500 Each Occurrence Limit Each Occurrence Limit Personal and Advertising Injury Limit General Aggregate Limit (Other Than Products-Completed Operations) Chemical Drift Liability Aggregate Limit (Coverage M) Damage To Property Of Others (Additional Coverage 2.) .CRIPTION OF PREMISES: "Insured Location" Bldg. No. No. Location Number of Acres, Township, Nearest Town, Road, Section or Civil District 001 2608 CAMEO COURT BAKERSFIELD CA 93304- 003 8523 FULLER DRIVE BAKERSFIELD CA 93307- CLASSIFICATION INFORMATION State Code Classification Description Exposure CA LOCATION 001 01901 FARM PRODUCTS - NOC 33,600 . 05223 PERSONAL LIABILITY - ONE FAMILY DWELLING 1 22-19 (01/01) INSURED COPY 10/09/2006 9784645 NEUSXEA T3108 PGDM060D J21256 GCAOPPN 00008636 Page 31 COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS (continued) - State CLASSIFICATION INFORMATION Code Classification Description Exposure 1 . LOCATION 003 05223 06619 TYPE IV FARM - NOT-OWNER OPERATED - MORE THAN 160, BUT NOT MORE THAN 500 ACRES PERSONAL LIABILITY - ONE FAMILY DWELLING 1 09250 MAINTAINED BY NAMED INSURED, SPOUSE OR RESIDENT OF NAMED INSURED'S HOUSEHOLD - SINGLE FAMILY DWELLING - PART OWNER OCCUPIED 1 Unless coverage is extended as described below, the following are not covered as farming in this policy: Retail activity (other than on-premises roadside stands selling products produced principally by the named insured); Mechanized Processing Operations. "Farming" is extended to include: Audit Period: Total Advance Premium INCLUDED . FORMS AND ENDORSEMENTS Forms and Endorsements applying to this Coverage Part and made part of this policy: Form Number Description CG0001 CG2167 FL0116 FL0411 FL0412 FL0488 FL1001 GEFL915 17-22 17-98 22-90CA GECG635 22-19 (01/01) 10/09/2006 - 1001 COMMERCIAL GENERAL LIABILITY COVERAGE FORM - 0402 FUNGI OR BACTERIAL EXCLUSION - 0994 EXCLUSION-MIGRANT & SEASONAL AGRICULTURAL WORKERS PROT - 0198 BASIC FARM PREMISES LIABILITY - 0198 PERSONAL LIABILITY - 0296 CA CHANGES WORKERS COMP RESIDENCE EMPLOYEES - 0994 EXCLUSION-EMPLOYMENT -RELATED PRACTICES - 0100 AMENDMENT OF POLLUTION EXCLUSION - 1202 EXCLUSION - LEAD - 1202 EXCLUSION - ASBESTOS - 0105 EXCLUSION - SILICA - 0504 AMENDMENT OF COVERAGE B Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Services Office, Inc, 2000, e Date Issued: 08/3012006 INSURED COPY , 9784645 NEUSXEAT3108 PGDM060D J21256 GCAOPPN 00008637 Page 32