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.
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'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
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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
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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.
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S:\PERMITS\ENCROACH\lNSURANC\625 Holtby Road,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: 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
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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
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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(]
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Date: 4, q / D.5
,D~te: rJ /cJ,olc~'
Date: :;; l'-1() ).0<:'
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Date: Q.. -20 -05
6) Name:
Address:
Date: /i)~;(,.5
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. Date::L/~ !~
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5) Name:
Address:
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, 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