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HomeMy WebLinkAbout05-30000075 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 05-30000075 Date 2/22/05 895500 625 HOLTBY RD PW - ENCROACHMENT PERMIT Owner Contractor FLESHER DAN & JACQUELINE 625 HOLTBY RD BAKERSFIELD CA 93304 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 332262 150.00 2/22/05 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments ADD 4' HIGH FENCE IN RIGHT OF WAY ON HOLTBY '.AID 0 d r e.NcQ 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 permi any ime. "~ 'ik!J,/ ;:1.r-:\"i)i;::/2 / 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) 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. I have read and acknowledge the above. ~Applicant's Initials - 3b ;;;.~ji'7 t<r ~ . BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 29, 2005 SUBJECT: Encroachment Permit Application for 625 Holtby Road. Name of Applicant Flesher Dan & Jacqueline Description of encroachment add 4' high fence in right of way Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of description of encroachment. The site is located at address of encroachment. 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\_Approval memo.doc 05 - 75 ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 18,2005 SUBJECT: Encroachment Permit Application for 625 Holtby road Name of Applicant Flesher Dan & Jacqueline Description of encroachment. Add 4' high fence in right of way Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. jf S:\PERMITS\ENCROACH\lNSURANC\625 Holtby Road,doc ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 22, 2005 SUBJECT: Encroachment Permit Application for 625 Holtby Road. Name of Applicant Flesher Dan & Jacqueline Description of encroachment. Add 4' high fence in right of way Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\TRAFFIC\_ Traffic memo,doc JrS-(M Otf./J f-^f? P . MERCURY CASUALTY COMPANY POLICY NUMBER HO 13075540 DATE MAILED 06/14/2004 02 AGENTIBROKER 4895 TRINITY INS SERVICES INC 22048 SHERMAN WAY, 1201 CANOGA PARK CA 91303 DAN FLESHER 625 HOLTBY ROAD BAKERSFIELD (818) 173-0079 CA 93304 Dear Policyholder, Thank you for doing business with the Mercury Insurance Group. Enclosed is a,copy of your Property Policy. Please examine the policy including the Important Information Section, and review all accompanying documents. A Notice of Premium Due may be included with this mailing, and if so, it will specify any amount currently due for the policy period shown. - -.- -- -.-.-'----'.-- .-. :--~---~-'-----"------'-' .~. --, ---.... --- .._- '-"--'-. --- ,.-..--.----.,...- .-.--' ,_.- ---, .- If you have any questions or would like to make changes to your policy, please call your Agent/Broker at the phone number shown above~ Your local independent Agent/Broker can also provide you with information about other insurance products available through the Mercury Insurance Group including Mechanical Breakdown Insurance, Automobile Insurance and Personal Liability Insurance. We appreciate the opportunity to serve you. Sincerely, MERCURY CASUALTY COMPANY N489500001000 Policy Number HO 13075540 . I Mercury Casualty Company STANDARD HOMEOWNER DECLARATIONS I pOUCY P~O~ Fllcr4l'fJjt804 ot/3'oo;~OM05 NAMED INSURED: DAN AND JACKIE FLESHER HUSBAND AND WIFE AS JOINT TENANTS MAltED TO: DAN AND JACKIE FLESHER 625 HOLTBY ROAD BAKERSFIELD CA 93304 PRODUCER: TRINITY INS SERVICES INC 22048 SHERMAN WAY, #201 CANOGA PARK CA 91303 TELEPHONE: (818) 773-0079 DATE MAILED: 06/14/2004 4895 13 PAGE 1 OF 1 PROPERTY LOCATION: 625 HOL TBY ROAD BAKERSFIELD CA 93304 FIRST MORTGAGEE: WELLS FARGO HOME MORTGAGE INC ITS SUCCESSORS AND/OR ASSIGNS PO BOX 5708 SPRINGFIELD OH 45501-5708 SECOND MORTGAGEE: LOAN # 0042172817 DEDUCTIBLE $ 1, SECTION I COVERAGES A. DWELLING B. OTHER STRUCTURES C. UNSCHEDULED PERSONAL PROPERTY D. LOSS OF USE SECTION II COVERAGES E. PERSONAL L1ABILIlY EACH OCCURRENCE F. MED PAY EACH PERSON , MED PAY EACH OCCURRENCE IF MORE-THANONE'PROPERTY-IS INSURED UNDER-THIS POLICY. SECTION I AND SECTIONJI,COVERAGES,OFEACH LOCAnON MAY NOT BE ADDED TOGETHER IN THE EVENT OF LOSS. LIMIT PER AGGREGATE PREMIUM ARTICLE PER LOSS PROPERlY PREMIUMS OPnONALCOVERAGES INCREASE COV E BASIC 984 $ 15 000 BLDG CODE COSTS- INCLUDED INCLUDED IN ,COVERAGE A LIMIT. o TIONAL 25 TOTAL TOTAL PREMIUM I ENDORSEMENTS ATTACHED TO THE POUCY P-I0 12/2002 438BFUNS P-56HO IMPORTANT INFORMAnON Your Notice of Premium Due is enclosed. Any premium due and the due date are indicated on the billing portion of the statement. INCREASED DEDUCTIBLE CREDIT APPLIES. RENEWAL DISCOUNT OF 5% APPLIES. DOG LIABILITY EXCLUSION APPLIES. MULTI-POLICY CREDIT Of 15% APPLIES. TlDS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE. P-4 HO 10/1999 'N'~IT'n.'.n ropv APPLICATION FOR INCROACIDIE~T PER."UT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOR.~L\: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a pennit 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 nwnber: }):4 f) ? /...12:::1/ J:/ 1/ 6'h(' ~(Y;7;?IJ' lW. ~6<R,I) O<J 7310<-/ CC/J&;3l-)3t>? " 2. Nature or description of the encroachment for which this application is made: 7>/cXi:;r ,.c~ /C?iiZ If I . ...:::r (tJ /'/':;1 bRi 3, Location of the proposed encroachment: 6 / F~ Ct JRJ3 ~ 4. Period of time for which the encroachment is to be maintained: (dN7/A-IUtJ/-, Applicant agrees that if this application is ~ted, applicant shall indemnify, defend and hold harmless City, its officers, agents and employees against any and allliabihty, claims, actions, causes of action or demands, whatsoever a~t 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 the aforesaid encroachment during the life of said encr~achment or until such time that this permit is revoked.'. . Applicant ~er ~~ees that upon th~ expiratio!1 of the. pf'~t [or which this application is made, if ~ted, or 'Yl?Q!1 the revocatlon thereofbvthc:Cltv enlZU1eer.-aoohcantwlII-at h.!5 own cost andexoense remove the same from thcl'ublic proo~ 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 or said encroachment. Applic~t 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 c:videI:lcing 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: 2...- u-or I , PER.'IIT ~ '"': ,,..,..-~,,,..,~_. ,-~..... -. ,~ I HERIBY CERTIFY THAT I HAVE MADEA.'i L""VESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION A.'iD FIND ffi-\.T THE MAINTENA.~CE OF SMD ENCROACHMENT (1) WILL (NOT) st'BSTA~vrLUL y INTERFERE ~lTH THE {;SE OF THE PL"BLlC PLACE WHERE THE SA)!I IS TO' BE LOCATED A.~ (2) wn.L (NOn CONSTITUTE A H.-\ZARD TO PERSONS l~SING SAID PL"BLIC PLACE; SAID A1PLlCATION IS THEREFORE (GR.-\..'iTED) (DENIED). SAID PER.;'IIT SHALL EXPIRE Date: Sl~&Y Engrneer No. :.CIT'f. 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. thuRn?P.' " (Stree for puposed encroachment) 8V:"D4.,J ' ;;~)-/e(L/ (Owners Name) of 0.2-5 ' t/c013t " ' (Address, of purpo ed encroachment) Phone: (;{;, 1- C, '3 J -J / '30 0 SIGNED: 1) Name: e;a~ ~de/?7b Address: ~ . 'I (2 ~.~ I~ - -'2r~arrie:-' -'~,/O;iI'\-~G-CtZ>''f6ki; I Address: ~+Ioy f2;J . 3)Name: ~4tlr / ~\v:?-,('CA.- ' . Address: JD ~ \ t'v ' I eo! . 4) Name: . OV\.. ~.. s , Address: C / ' >~r(] - Date: 4, q / D.5 ,D~te: rJ /cJ,olc~' Date: :;; l'-1() ).0<:' , I Date: Q.. -20 -05 6) Name: Address: Date: /i)~;(,.5 I . Date::L/~ !~ I I ' , 5) Name: Address: (J Q ~ ICY ~ !)I 1S ~ V' ~f;~ ~Q V : ~t~tt rpi Qiff . ' &-10(. 'P(~ J .~ ~ ~ I .~ .~ .~ ~ ~ ~ ~ '\ IV) ~fl ht;L~ ~ tj)~\j~~~' ~ ~p05eD pi ~T F'€tJce ~ .'s ~ ~ ~ ~ \ I I q v ~ ) ~~ ( ---- G' -L - l bS-1 tJ107i-/ or L6T e:i' ~0(, 5"1fW(j~ @ / N"!B" -?-fJ ' 6 ?- '(" rr~ ( /,~ dt'~ J tlt f!J~ f) _ ,-J . ,..-"'.... ~1""~. :,.,~"",~'I-t~'I-'I'-'" -"/.-r",,,:,,:; '~"'r"" ',t,', , ~"_-l'''' \" '~"'''.~ ..'~" _,,). , City of Bakersfield fff CUSTOMER RECEIPT .~* Ope.t': SGOSS~AN Type: OC Drawer: t Date: 2/22/05 01 Reeeipt no: 86080 Descrip~Ion" Q~antil}1 2005 ';:rC\J0001~1 BP BUILDING PERKfTS 1.00 AIIQunt $150,00 lender detlljj CKCHECK Total tendered Totdl paYJllent 727 $150,00 $150,00 5150.00 Trans dl.lt~: 2122/05 Tipe: 13:53:26 PLEASE BE A RESPONSIBLE PET OW~ER HAVE YOUR PETS SPAYED OR NEUTERED