HomeMy WebLinkAbout04-30000046
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 . . .
ATN (11 Digits) :
Application description
. . . 04-30000046 Date
.924168
2304 D ST
514-453-06-00-6
. . PW - ENCROACHMENT PERMIT
4/29/04
Owner
Contractor
DEAN HOLLOWAY
3709 CHRISTMAS TREE LN
BAKERSFIELD CA 93306
871-0901
OWNER/BUILDER
BAKERSFIELD
CA 93301
----------------------------------------
------------------------------------
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
212522
150.00
4/29/04
valuation
o
~.
/fJ",'?<. v~
q-/ Iv ~
Y ~:;;~
Qty Unit Charge Per
1. 00 150.0000 EA PW ENCROACHMENT
Extension
150.00
--------------------------------------------------------------
Special Notes and Comments
BLOCK WALL OUT TO SIDEWALK -
CORNER OF 23RD AND D STREET
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .00 .00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit at an time.
~
, ~i~ture o~ Applicant (Owner! ent)
L~ .
t 1)c!iAJ
Pnnt Name
.J
Hot LoWfi1
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACfS 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) (DENIED). 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.
~e;:ad and acknowledge the above.
~licant" 1nitia/.<
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the provisions ~f ~hapter 12.20 of the Bakers~eld Municipal ~ode, the undersigned applies for a pennit
toplace, erect, use and ~tam an encroachment onpubl1c property or nght-of-way as therein defined.
b
1. Full naIOe of applicant and complete address including phone nwnber: 230'l-...1Jf P ,fl' )'Iree7
&/JOI1 /JeAn 1!1JI/oWtt;lj g'7/- 09IJ! {fA/it A
2. Nature.r descri~'i.n .f the encr.achment fur which this applicati.n is made: /2" "'I J e K / b (, ,,/ l'el' f1"/;-~ .
b ')( 81 X It? II . B//)~ JJ~ 11- 5" / f-&{ 1/. .- 115"" feet 16~'
Cof~er or 2J~{ +-2)- R.4Jf fo q/ley.
3.. Location of the proposed encroachment:
L;' fe () f tf) t.J~e r s4//J
p
4. Period of time for which the encroachment is to be maintained:
Applicant agrees that if this application is ~ted, ap'plicant shall indemnify, defend and hold harmless City, its
officers, agents and employees against any and allliablllty, claims, actions, causes of action or demands, whatsoever
against them, or any pfthem, 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 encr?achrnent or until such time that thispemtit is revoked... ..
. .
Applicant further agrees that upon the expiration of the permit for which this application is made, if granted, or.YQQ!l
the revocation thereofbv the Cltv ene:ineer. aoolicant will at his own cost and expense remove the same from the oub,1ic
prooe~ or right of way where the same is located, and restore said public property or right of way to the condition
as near y as that in which it was before the placing, erection, maintenance or existence of said encroachment.
Applicant further agrees to obtain and ke~ all liability insurance req~ed by ~e Ci~y Engineer' in f:.111 force ~nd effect
for however long the encroachment remams. ApplIcant shall furnish the CltyRisk Manager wlth 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 acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time. . ~. &
Date: q - 21,- 0 ,,' ,/ .
Signa eo App lcant wner or presentatIve)
PER~IT
I HEREBY CERTIFY TliA T I HAVE MADE A.~ INVESTlGA nON OF THE FACTS STATED IN THE
FOREGOING APPLICATION Al'1D FIND ffi-\T THE MAINTENk"iCE OF SAID ENCROACHMENi (1) WILL
(NOT) StJBSTAl"iTIALLY INTERFERE WITH THE USE OF THE Plj'BLIC PLACE WHERE THE SAME IS TO
BE LOCATED AND (2) Wll..L (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GRA.~TED) (DENIED). SAID PERi'\UT SHALL EXPIRE
Date:
SIgnature of CIty Engmeer
No.
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.,
. CITY OF. 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.
a,3 cc! >-!r-ee,j
(Street for puposed encroachment)
By: /)e,qvt' Ho/IOVj
(Owners Name)
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CERTIFICATE OF INSURANCE
This certifies that 0 STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
~ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
insures the following policyholder for the coverages indicated below:
Name of policyholder Dale & Jean Denison and Eldon & Laura Holloway
Address of policyholder
5273 Montecito Drive
Location of operations
Bakersfield, CA 93306-3944
2304 D Street, Bakersfield, CA
Description of operations Apartment buildinq
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is
sub' ect to all the terms exclusions, and conditions of those olicies. The limits of liabir shown ma have been reduced b an aid claims.
POLICY PERIOD LIMITS OF LIABILITY
TYPE OF INSURANCE Effective Date Ex iration Date innin of olic riod
BODILY INJURY AND
PROPERTY DAMAGE
POLICY NUMBER
Comprehensive
Business Liabilit
i~o _1~~I}?urance includes.: =_..0 e(0.duGts-=-C.9JT1plete_!LOp_eJ:atiQn~
o Contractual Liability
o Underground Hazard Coverage
o Personal Injury
o Advertising Injury
o Explosion Hazard Coverage
o Collapse Hazard Coverage
o General Aggregate Limit applies to each project
o
o
..0:---_.""""__ ...-::;:;-________-___-.c:"_ -----~
Each Occurrence
$
General Aggregate
Products - Completed
Operations Aggregate
$
$
EXCESS LIABILITY
o Umbrella
o other
POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE
Effective Date Ex iration Date (Combined Single Limit)
Each Occurrence $
A re ate $
Part 1 STATUTORY
Part 2 BODILY INJURY
Workers' Compensation
and Employers Liability
POLICY NUMBER
90-03-6820-1
TYPE OF INSURANCE
A artment
Each Accident $
Disease Each Employee $
Disease - Polic Limit $
LIMITS OF LIABILITY
(at beginning of policy riod)
2 000 000.
If any of the described policies are canceled before its
expiration date, State Farm will try to mail a written notice to
the certificate holder
days before cancellation. If, however, we fail to mail such
notice, no obligation or liability will be imposed on State
Farm or its agents or representatives.
Name and Address of Certificate Holder
City of Bakersfield
1715 Chester Avenue
Bakersfield, CA 93301
558-994 a 2-90 Printed in U.SA
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Signature of Authorized Representative
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Title I
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Date
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BA.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Sharon Traynor, Accounting Clerk II
FROM: Bob Wilson, Engineering Technician I
DATE: May 17, 2004
SUBJECT: Refund of Encroachment Permit Fee for permit #04-30000046
Please refund to Dean Holloway the encroachment permit fee of $150.00. The encroachment
permit he applied for is not within city right of way. Please send refund to the address shown on
the attached permit.
cc: Reading File
Encroachment file
S:\PERMITS\memo\2300 D Street.DOC
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B A K E
.
-
RSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVENUE
BAKERSFIELD, CALIFORNIA 93301
(661) 326-3724
RAULM. ROJAS. DIRECTOR. CITY ENGINEER
11-
May 18, 2004
Mr. Dean Holloway
3709 Christmas Tree Lane
Bakersfield, CA 93306
RE: Encroachment Permit 04-30000046
Dear Mr. Holloway:
In processing your application for an encroachment permit at 2304 "D" Street it has been determined that
the location of the encroachment, along 2300 Street, is not within the City of Bakersfield jurisdiction. That
portion of 2300 Street is under the jurisdiction of the California Department of Transportation (Caltrans).
Any requests for encroachments will need to be submitted and approved by Caltrans.
A request to refund your permit fee has been submitted. Should you have any questions please feel free to
contact Bob Wilson at (661) 326-3566.
Very truly yours,
RAUL M. ROJAS
Public Works Director
by:
&, /7{""' /l
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.1A/lAA. f~Kt?-<<r-
MARIANP,SHAW' .
Civil Engineer IV
~ cc:
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encr6acb~ei!Qil~
reading file
S:\PERMITS\ENCROACH\Letters\2304 0 Street.doc