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HomeMy WebLinkAbout02-30001545 ENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WO~KS D~PARTMENT 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 . . 02-30001545 Date 11/06/02 Property Address . . . 4213 CYCLONE DR Application description . PW - ENCROACHMENT PERMIT Owner Contractor SAMARNEH AWWAD & MARIAM 4213 CYCLONE DR BAKERSFIELD CA 93313 OWNER Permit . . . . Additional desc Permit Fee . . . . Issue Date . . . . ENCROACHMENT PERMIT 145.00 n/06/02 valuation o Qty Unit Charge Per 1.00 145.0000 EA PW ENCROACHMENT Extension 145.00 Special Notes and Comments encroachment permit to put fence on east side of yard out to front of street 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 permit at any time. t r/Y//:Vl{ .L.- ')-lk-<<\n7UrT e ~ "- Signature of Applicant (Owner/Agent) ~ ,ll1avicr M Print Name 50.-/'110 rne q, 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 (N~~E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO~) (DENIED). Said permit shall expire on date stated above. ~- Signature of City Engineer "' Additional Terms on the Back -'l~ Applicant agrees that if this application is granted, applicant shaU 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 aU 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. IX: ~ Applicant's Initials ~- ~ - ,zyl ~\~ 7 11 . B A K E R S FIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 22, 2002 SUBJECT: Encroachment Permit Application for 6' wood fence at back of sidewalk along side yard. Awwad & Miriam Samarneh 4213 Cyclone Drive Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of a 6' wood fence at back of sidewalk along side yard. The site is located at 4213 Cyclone 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 approval ofthe permit. 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"~'. l 1/'.1', , ' 1 , r~' ~" ~~~"~t. ~ , "..1, .".'1".,'".7,.'",.,.', , ",1. , .; ,!':,:~tl "__.__.____,~,~"_w_~_"._._.._____.__,,_~______,m....___'__"~_.-..,~......~--.lt., ,t.'.' l'!\,' l,~'~.:,. ' ~rt\'m"l:;V"..;;t~ '...,j " ~'~ t 00 t , Q,o. f ,f. ~ "'1*'t1"",~,,,p:I>V;!;"'r :' ~~. ",\', " if.;. Y) 0 c:: ,1 ---'- '0" >~~ I I, ! I ,1 -- I ;; i , i . \ 1 r i , 'I I I J i ( , , I 1 f f ~ ~ f J I g i I t I i I t J % I 1 t ~".,...'.., ;1):': 6:." ~' ,.3- ~. ,~} ) .- \(' .;J ~ --I-. .j \) if) ,C;- .. , r:t-V\\..- e..~\~t-\~ ... '. o L.~ 1 .. l tCIt ..., ~ """ ' . ''''"====cs:::. ' -J 03 F co \ ~ \)~ (>\i '} ! I _ #- 6Q~~ . --- r. J"J ." ~ ~ -0= ~ .'~ i> " ~ ~ ~ <0 -=2 s (\) ~ ~ ) ,.. '. CITY OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: >~:"~t:" ~:.~.~:.~. '. .- - ~ . ..:.: . i. We, the undersigned, have no objection to the construction ofa fence or ~hind the sidewalk on: '1111 L ~c.. (0 /11 e. t> r; Vi' . (Street) of ~A-K<,:VS ~ Ca (Address) cn~{) SIGNED: ~ 1) Name ,C2 " , Address ~J /~ :: ........ 2) Nam~~"-A","'''/ Addressl; ".': -, " I'~ 3) Name?(kdJUu CL. Cf~ Address 1ZCf,1 C~r.c, ~dtru 4)NamLtJ>v\~ M~ Address J!.. 'bf.h) ~ - ~ Q \) { , (j 5)Name ~~~~'-:'7 Address ,,/2/2.::; - -ie,,,? .6r~2:-"e. P...._ 6) Name~f1tA~~ t Address [1'2\ 3 sG ,W~?~ R~~J ~,mttria..l'11 SAIYlA~~~ By: ~ihLr- ~,--k (Owner's Name) Phone: ~3i- -39 <g ~ , I ... I I Date:~(' ~ J QCj9 Date: Lj:- .V'" - q 9 Date: ~l~ 8 -- q t} Date: t_R ,9~ '~I k/77 Date: Date LJ Ie; (CJo; J- )~ ( , -I- I I j _I . I '--..... I ! ". ,:.'- '. ,~_ '-:t ...:. ,. - -..,. . 0- " .-' ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 19, 2002 SUBJECT: Encroachment Permit Application for 4213 Cyclone Drive. Awwad & Mariam Samameh 6' high wood fence @ back of sidewalk along side lot. Please review the attached encroachment permit and return to me at your earliest convenience. II /2-D( o-v Itr1ACI(,g~J;-e-rc.+i ~;J(JIII/$ 11'\Jfr{}e~l.J,tfi I~Fb~1"1 /iN. # M L-4P F '-LOVV\<-v Loc - T- ,V\'t(..vs,Lt..:rioVl (i --at> Ii <-.t S -1-0 b" ) IA... ( . , -" '" I """ vt..- ~ ~t-t b~,d<. "-,-, f$:;N~ ~...." """ C- 'yc...loV\c" rJr,\/<.. "IS "IS"/ t==-e. -!- t I I I I I 'I i/ ~ II/L2-/0"'L S:\PERMITS\ENCROACH\TRAFFIC\4213 Cylclone Dr-doc ~ .. --- ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 19, 2002 SUBJECT: Encroachment Permit Application for 4213 Cyclone Drive. A wwad & Mariam Samarneh 6' high wood fence @ back of sidewalk along side lot. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. fJJ :1 S:\PERMITS\ENCROACH\INSURANC\4213 Cyclone Dr.doc , I i ~\- "0 :1'-;.0 r ONLY THE INSURANCE COVERAGES INDlCATEO BY A SPECIFIC LIMIT OF LIABILITY ANO/OR PREMIUM AMOUNT ARE PROVIOEO. AN =-"" ,.... ...@ POLICY: 04-X-F09596-4 AGENT: RUBEN CANALES ., ~ ~ ~ INSUREO: SAMARNEH, MONTHER A & ANWARD & POLICY PERIOD: 11-17-2002 TO 11-17-2003 ENDORSEMENTS: FX3.04 06-97 FX9291 01-96 FX9372 01-96 FM911S9 01-96 FM949 03-01 NOTICE OF PREMIUM DUE $421. 00 YOUR POLICY DOES NOT PROVIDE PROTECTION FOR LOSS DUE TO AN EARTHQUAKEn **THIS POLICY DOES NOT INCLUDE BUILDING CODE UPGRADE COVEHAGE,** SAMARNEH, MONTHER A & ANWARD & SAMARNEH, MARIAM 4213 CYCLONE DR BAKERSFIELD CA 93313-3907 11.1....11...11....11..11...11.1.1..11...1...1...11..11.1..1.1 l~o1 c.y-t 00 ~ 1)1' l\/OY \ 6 .I~ AGENT: RUBEN CANALES 661-322-8308 I I', I - - COVERAGES AND LIMITS SEC I SEC I I ABC 0 E DWELLING STRUCTURES PERS PROP LIVG EXP PERS LIAB $118,600 $11,860 $59,300 $23,720 $300,000 HOMEOWNERS FORM 3 POLICY PROPERTY LOCATED AT: 4213 CYCLONE DR BAKERSFIELD CA 933133907 F ZONE PROT BC CONST MEDICAL $1,000/25,000 20 03 FRAME o o ~ J: ..... '" - , ~ , $500 ALL PERIL DEDUCTIBLE RENEWAL EXTENSION CERTIFICATE AMT DUE INCLUDES GUARANTY TAX PAC I F I C PROPERTY AND- CASUA_L TY__C9MI:'_~~Y..,___.._. ~~~M M^" 10-03-2002 TOl ENCL #IM455 #IM740 #18359 #UM55 -~'1IIf( ,~ -,. l.: -J::!' IMPORTANT INFORMATION ON HOW TO REPORT A CLAIM Should you need to report a claim under this policy, please call (Toll-Free) 1-800-333-2860. Please be prepared to furnish the following information: 1) Date and Time of Loss 2) Facts of Occurrence 3) Location of Loss if other than the residence premises 4) Name, Address, and Phone Number of any injured parties 5) If applicable, name of law enforcement agency or fire department and the incident number As a Policyholder, you are required to protect your property from further damage, make reasonable and necessary temporary repairs, and keep an accurate record of repair expenditures. EXPLANATION OF COVERAGE SYMBOLS VEHICLE COVERAGES A Bodily Injury Liability B Property Damage Liability C Medical Payments CF Medical and Funeral Benefits * D Comprehensive E Collision I Towing and Labor J Uninsured Motorist K Reimbursement of Auto Rental Expense PIP Personal Iniury Protection AD Accidental Death * AD&D Accidental Death & Dismemberment UIM Under insured Motorist W Work Loss or Income Loss FP Combined First Party Benefits * *Available in Pennsylvania only. BOA TOWNERS A Physical Damage B Watercraft Liability C Watercraft Medical Payments STANDARD FIRE A - Dwellin.g B Other Structures C Personal Property or Household Contents D Rental Value HOMEOWNERS A Dwelling B Appurtenant or Other Structures C Personal Property D Additional Living Expense or Loss of Use E Personal Liability F Medical Payments to Others COMMERCIAL A Building B Business Personal Property C Loss of Income D Loss Assessment E Business Liability F Medical Payments RENTAL OWNERS A Dwelling B Other Structures C Personal Property D Fair Rental Value E Business Liability F Premises Medical Payments LIBERALIZATION CLAUSE: If within 45 days prior to the inception of this policy, or during the term hereof, this Company adopts any revision of the forms or endorsements made part of this policy which would broaden coverage presently granted hereunder without additional premium charge, such broadened coverage will automatically apply to this policy. SPECIAL NOTICE TO AUTOMOBILE POLICYHOLDERS IF YOU HAVE A NEW OR DIFFERENT CAR OR HAVE ADDED ANY DRIVERS IN THE HOUSEHOLD, PII=.Il.~1= l"nNT.Il.l"T vnllA .Il.t::I=NT