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.
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Signature of Applicant (Owner/Agent)
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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.
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Signature of City Engineer "'
Additional Terms on the Back
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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
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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.
S:\PERMITS\ENCROACH\2002 Permits\4213 Cyclone Dr.doc
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CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
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We, the undersigned, have no objection to the construction ofa fence or ~hind
the sidewalk on:
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1) Name ,C2 " ,
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3) Name?(kdJUu CL. Cf~
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By: ~ihLr- ~,--k
(Owner's Name)
Phone: ~3i- -39 <g ~
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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.
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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
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S:\PERMITS\ENCROACH\INSURANC\4213 Cyclone Dr.doc
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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
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AGENT: RUBEN CANALES
661-322-8308
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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
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, $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
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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,
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