HomeMy WebLinkAbout03-30000032
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 . .
pin number . . . . . .
Property Address . . .
Application description
03-30000032 Date
.583072
2700 EL PORTAL DR
PW - ENCROACHMENT PERMIT
9/22/03
Owner
Contractor
CHAMBERS RONALD L & DEBORAH A
2700 EL PORTAL DR
BAKERSFIELD CA 93309
(661) 833-0533
OWNER/BUILDER
BAKERSFIELD
CA 93301
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permi t . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
131649
145.00
9/22/03
valuation
o
Qty Unit Charge Per
1.00 145.0000 EA PW ENCROACHMENT
Extension
145.00
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Special Notes and Comments
INSTALL NEW 6' BLOCK WALL 32" BEHIND
SIDEWALK
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 145.00 145.00 .00 .00
Grand Total 145.00 145.00 .00 .00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
pe;JZ:L c1d1J~- Mrah 11-. ~.w-S
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 (NOT) ~UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFoRJt(G Em (DENlED). Said permit shall expire on date stated above.
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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,
maintenanc:e 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
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
q A..-/Bo;'
~iJ 17; ~l
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
October 7, 2003
SUBJECT:
Encroachment Permit Application for 6' concrete block wall 32" behind sidewalk along
s ide yard.
Ronald & Deborah Chambers
2700 EI Portal Drive
Engineering and Traffic staft;has reviewed the attached encroachment permit to allow the installation of
6' concrete block wall 32" behind sidewalk along side yard.. The site is located at 2700 El Portal Drive.
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 ap.12J:.Oyal of the permit.
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S:\PERMITS\ENCROACH\03-04 Permits\2700 EI Portal Dr.doc
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APPLICATION FOR ENCROACHMENT PERMIT
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.
1. Full name of applicant and complete address including phone number: fur) ~i e. d-ambe..rs
cf27~D el Por+a.-I hr. J 93309 833-0s-33
2. Nature or description of the encroachment for which this application is made: "'-.)PL.d df'i \te,Il-oy 4-
C1fP0&J, W R.V 4 e4~ ~ eJ)JD~___ SI'ctPJ ~6.fJ
3. Location of the proposed encroachment: ~ f.lle...tY\()'Lll-f- 'Slrle ~ ~-\-y
4. Period of time for which the encroachment is to be maintained: Li~ rA--. frf Q r 1)'
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless City, its
officers, agents and employees against any and allliablhty, claims, actions, causes of action or demands, whatsoever
againstthem, or any of them, 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 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 ofthe permit for which this application is made, if granted, or ubon
the revocation thereofbv the Citv engineer, applicant will at his own cost and expense remove the same from the pu lic
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 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 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 is:
Applicant ackno.wledges ~he right of the City Engineer, purs)l~}O J3a#Ijfield ~cipal Code Chapter 12.20 to
revoke the perrmt at any time. I...f,/bffc.e VfJCl4~
Date: 9-:2;J~3 ~ ~~
19na eo Apptt'cant (Owner or Representative)
PERMIT
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 PUBLIC 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) (DENIED). SAID PERMIT SHALL EXPIRE
Date:
Signature of City Engmeer
No.
/
, CITY ci~ BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
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.
VcJe.-mnl-Ult })"
(Street for puposed encroachment)
~~r\ ~ Debb,e- d-amhrs
(Owners Name)
of d-700 e/ fJor+J })r.
(Address of purposed encroachment)
Phone: 833-0533
SIGNED:
1)~:::s: ~ ;f/t;::J7tJr;ye
2) Name: Bnn~<J..\ y\c;y-
Address: If (/ I, \/iAJe mn Yli--a:).A ,
3) Name: RoW g Jt1'7Je::;
Add~ess: ,;?6/-r Sk>CU/Y7 ~.;- 9J.k?'i
4) Name: 8~ AsUt34-Ct6#
Address: Zb I to 5toC,fJ-;!\J c -r,
5) Name: W. ~~te~~
Address: ?? () &c lei ,Dr
6) Name: ~~~ ~T9J1.?~^/
Address: 7bt9 J d le>>JrTit ~
Date: 9-cJ../-oJ
Date: q -c::L \ ~ 6~
Date: '1-~/-o? '
Date: 9/~1 /03
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Date: ~~/t;3
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~ ~ INTERINSURANCE EXCHANGE of the Automobile Club
11// CI'\l
INSURANCE RENEWAL DECLARATIONS
AUTO CLUB MEMBERS' PREFERRED HOMEOWNERS POLICY-FORM 3
PLEASE READ: These declarations constitute our offer to renew this insurance for the policy period shown below. Renewal is
continuent upon your payment of at least the Minimum Due before or on the Due Date shown in the enclosed Insurance Billing.
Failure to pay at least the Minimum Due before or on the Due Date shall mean that you rejected this renewal offer. All coverage
affordE'd by this policy will then terminate at 12:01 a.m., Pacific Standard Time, on the Effective Date shown in these declarations
under "Policy Period." These declarations, together with the contract and the endorsements in effect, complete your policy. '
ITEM 1. YOUR NAME AND ADDRESS PROCESS DATE POLICY NUMBER
12-24-2002 CHO 002205608
CHAMBERS, RONALD AND DEBORAH
2700 EL PORTAL DR
BAKERSFIELD CA 93309
POLICY PERIOD (PACIFIC STANDARD TIME)
EFFECTIVE DATE 02-15-2003 12:01 A.M,
EXPIRATION DATE 02-15-2004 12:01 A.M.
ITEM 2. LOCATION OF RESIDENCE PREMISES (IF OTHER THAN ABOVE)
ITEM 3. COVERAGES AND LIMITS OF LIABILITY (YOUR POLICY AFFORDS ONLY THE COVERAGES FOR WHICH A LIMIT IS SHOWN OR DESCRleED BELOW. COVERAGE FOR RESIDENCE
EMPLOYEES IS AFFORDED ONLY FOR THE NUMBER OF EMPLOYEES SHOWN UNDER PART IV BELOW.)
PART I-PROPERTY COVERAGES PART n-L1ABILITY COVERAGES PART IV-WORKERS' COMPENSATION
A-DWELLING $161,000 B-QTHER STRUCTURES $16,100 AND EMPLOYERS' LIABILITY COVERAGES
GUARANTEED REPLACEMENT COST INCLUDED D E F G
$500 PERSONAL MEDICAL WORKERS' EMPLOYERS'
C - UNSCHEDULED PERSONAL PROPERTY - $120,750 DEDUCTIBLE LIABILITY PAYMENTS COMPENSATION LIABILITY
TO OTHERS
OTHER COVERAGES 5, - BUILDING CODE UPGRADE BODIL Y INJURY AND PER CONDITIONS
PROPERTY DAMAGE STATUTORY PART IV,
10% OF THE AMOUNT OF COVERAGE A EACH OCCURRENCE EACH PERSON
PROVISION 3,
OTHER COVERAGES 1, - LOSS OF USE - 20% OF THE NO PERSONAL INJURY
AMOUNT OF COVERAGE A DEDUCTIBLE AGGREGA TE NUMBER OF RESIDENCE EMPLOYEES
'" $300.000 $1,000 OUTSERVANT(S) 00 INSERVANT(S) 00
ITEM 4. ENDORSEMENTS IN EFFECT
NUMBER TITLE PREMIUM
HO-216 ALARM OR FIRE PROTECTION SYSTEM
H0-290 PERSONAL PROPERTY'REPLACEMENT COST $ 55
438BFU LENDER'S LOSS PAYABLE ENDORSEMENT
fI H0-2283 AMENDATORY ENDORSEMENT HO-3
THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE
ITEM 5. MULTI POLICY FIRE ALARM DEADBOLT
PREMIUM DISCOUNTS
ITEM 6. BASIC LESS ADDITIONAL COVERAGES CIGA NET TOTAL
PREMIUMS COVERAGES DISCOUNTS INCREASED INCREASED RESIDENCE ENDORSEMENTS ASSESSMENT PREMIUM
PERSONAL LIABILITY MEDICAL PAYMENTS EMPLOYEES
$736 $191 $25 $55 $625
,
ANY LOSS UNDER PART I-PROPERTY COVERAGES-IS PAYABLE AS INTEREST MAY APPEAR TO YOU AND
MORTGAGEE LOAN , 0019827666
FIRST NATIONWIDE MORTGAGE CORPORATION
ITS SUCCESSORS AND/OR ASSIGNS AS THEIR
INTEREST MAY APPEAR
PO BOX 1575
CORAOPOLIS PA 15108
CAH0201 A
E200105
FOR QUESTIONS OR CHANGES CALL TOLL FREE 1-800-924-6141
SEE REVERSE FOR PRIVACY PROTECTION NOTICE AND CONSUMER AFFAIRS INFORMATION
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: October 3,2003
SUBJECT: Encroachment Permit Application for 2700 EI Portal Drive.
Ronald & Deborah Chambers
6' block wa1/32" behind sidewalk along side yard.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
IIV
S:\PERMITS\ENCROACH\INSURANC\2700 EI Portal Dr.doc
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: October 3, 2003
SUBJECT: Encroachment Permit Application for 2700 EI Portal Drive.
Ronald & Deborah Chambers
6' block wall 32" behind sidewalk along side yard
Please review the attached encroachment permit and return to me at your earliest convenience.
oIL
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S:\PERMITS\ENCROACH\TRAFFIC\2700 EI Portal Dr.doc
10(17/02
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