HomeMy WebLinkAbout04-20022302
ENCROACHMENT PERMIT
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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
Owner
04-20022302 Date
,876782
6300 QUAKING ASPEN ST
523'221-03-00-2
PW ' ENCROACHMENT PERMIT
2/25/04
Contractor
OWNER/BUILDER
KOSTNER WILLIAM R & LISA A
6300 QUAKING ASPEN ST
BAKERSFIELD CA 93313
--------------------------------
Permit , , , , ,
Additional desc ,
Phone Access Code
Permit Fee . , ,
Issue Date , , .
BAKERSFIELD
CA 93301
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ENCROACHMENT PERMIT
183293
150,00
2/25/04
valuation
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Qty Unit Charge Per
1.00 150,0000 EA PW ENCROACHMENT
Extension
150,00
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Special Notes and Comments
moving fence -block wall out to
sidewalk,
Fee summary Charged
Permit Fee Total
Grand Total
Paid
Credited
Due
150,00
150,00
150,00
150,00
.00
.00
,00
,00
I
, I
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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/ ignature of Applicant (Owner/Agent)
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rint Name
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I HEREBY CERTIFY THAT IHA VE 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~D) (DENIED). Said permit shall expire on date stated above,
M/1
Signature of Gty Engineer
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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, orin 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.
~~ad and acknowledge the above.
\ -..?licant'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 17,2004
SUBJECT: Encroachment Permit Application for 6300 Quaking Aspen Street
. William R. & Usa A. Kostner
6' high concrete block wall along side yard, l' behind sidewalk.
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the
installation of 6' high concrete block wall along side yard, l' behind sidewalk. The site is located
at 6300 Quaking Aspen Street.
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\03-04 Pennits\6300 Quaking Aspen St.doc
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant t.o. 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.
1. Full name of applicant and complete address including phone number: G-, \.\.-, u............ e...... \f-<>-< +-",~r-
\.:,~ 0-0 Q,v <\.~\ "'~ A-6~"l-"'" S ~ . ~ A\l...... c~ "'~~ \~ (\..""" ') ~"s- - '&""'l"S
2. Nature or description of the encroachment for which this application is made: C t>... ~&.('-- \.- o""'\'- -
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~ .,... '-.>... L -.\(....'-- ~~ ~" J ...... (V.u\Aj r~'" <. tL,.. .w.. 0 u-r- Go\. 0-5 "-'("'"
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JO 75" J-.~ 5 ~-<!.~-\- V("Q--. C;.) '0 If' s';)...\L. o~ \\-o\) ::,\V.
3. Location of the proposed encroachment: Nor\\.... ~...\)...-t,... ~~ ~rb~~.,.<s \.-Cbc...~,,-,~
~ \#::.\:)'O ~U~~\"o,. ~~ij~'" S-\('...t,,~ I (l)\A'{-. <-A- C\.'"'\::)"""'\~
4. Period oftime for which the encroachment i~to be maintained: L \~..... ~~ r..... <<../ 10 ~ ~~.,.."CU / W<h''\.
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Applicant agrees that if this application is granted, ap'plicant shall indemnify, defend and hold hannless City, its
officers, agents and employees against any and allliablhty, claims, actions, causes of action or demands, whatsoever
against them, or any of them, 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 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 1!RQ!!
the revocation thereofbv the City engineer. applicant will at his own cost and exoense remove the same from the oublic
propert~ or right .of w~y ~here ~he same is loca!ed, and r~store s!lid public prop~rty or right .of way to the condition
as near y asthat m which It was before the placmg, erection, mamtenance 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
Insurance evidencing 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:
. . X "
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PERMIT
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 PUBLIC 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
Date:
No.
Signature of CIty Engmeer
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{r.O CI"FY O~ ,BAKERSFIELD
"" DEPARTMENT OF PUBLIC WORKS
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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.
\vJ"'-"'-\-L ~\\'~\-.. G~
(Street for puposed encroachment)
. Bv: lv'\ \\'\ ~_ (l....~.s ~~-u-
(Owners Name)
of \0-;, ~"O~.J~~ '\ '"
(Address of
~~ q.,~ .5~. b~(..... ,c~Phone: (~') \.ol;,S"- ~to...s
urposed encroachment ) ~ ~ C~\c, \) :;}..o \ - c;;- 0,. ,
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SIGNED:
1) Name: M.lGlAcrL Aj2otJ3)kJ
Address: \o~o ~--\- .
Date: 2,-{ C)~
Date: J./ d.-%~
Date: J../ d--o / 'v~
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2) Name:
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4) Name:
Address:
Date:
5) Name:
Address:
Date:
6) Name:
Address:
Date:
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. . Pe~~onal, Express Insurance Services, Inc.
5301 Truxtun Avenue Suite 100, Bakersfield, CA 93309
Underwritten by Sequoia Insurance Company
Policy Number: XH0208883
William R. & Lisa A. Kostoer
HOMEOWNERS INSURANCE POLICY
Effective 10/10/2003 Declaration Number 003
:-12 Month Policy Term Continuous from 10/10/2003 at 12:01 AM Local Time or Until Cancelled or Non-renewed
Mail To:
William R. & Lisa A. Kostner
6300 Quaking Aspen Street
Bakersfield, CA 93313
Local Office:
5301. Truxtun Avenue Suite 100
Bakersfield, CA 93309
(661) 397-7377 (800) 499-3612
Claims Emergency After Hours Number:
1-800-235-8784
- CHANGE-POLICY DECLARATION
Your policy has been changed effective 10/10/2003. This change will be referred to as Declaration Number 003 and performs the
following: Change payor.
This change in your policy did not affect your premium.
Insurance is to be provided only with respect to the location(s) and/or coverage(s) for which a limit of liability is specified
and premium is charged, subject to all of the conditions of this policy.
'Named Insured: William R. & Lisa A. Kostner
Legal Text: Husband and wife as joint tenants
Property Description: Address: 6300 Quaking Aspen Street, Bakersfield, CA 93313
Construction: Frame Year Built: 1990
Protection Class: 3 Roof: Wood
Territory: 54
Section I Coverages: 80 3
A - Dwelling:
B - Other Structures:
C - Personal Property:
D - Loss of Use:
Limit
$ 159,000
$ 15,900
$ 111,300
$ 31,800
Deductible of $ 500
applies to Coverages A, B or C
for anyone loss.
Premium
$487
Included
Included
Included.
Siction II Coverages:
:_E - Personal Liability:
F - Medical Payments:
Each Person
Each Accident
$ 300,000
$ 1,000
$ 25,000
$ 25
Included
Included
Sections I & II:
Additional Coverages:
Credits/Debits:
CA Surcharge:
TOTAL:
$ 512
$120
$ -141
$0
$ 491
This policy is subject to the following forms and endorsements attached to and made part of the policy:
H00003-0491, 438BFU NS-0542, H00446-0491, H00490-0491, H00496-0491, H02490-0193, H0300-1292, H052-0484, SH001-
0500, SH004-0797, SH008-0797, SH013-0998, SH014-0500
. Countersigned:
PH Decl-a
INSURED
Date Printed 09/2212003
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B.t\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: March 8, 2004
SUBJECT: Encroachment Permit Application for 6300 Quaking Aspen Street
William R. & Usa A. Kostner
6' high concrete block wall along side yard, l' behind sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\6300 Quaking Aspen St.doc
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Bi\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: March 8,2004
SUBJECT: Encroachment Permit Application for 6300 Quaking Aspen Street
William R. & Usa A. Kostner
6' high concrete block wall along side yard, l' behind sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
If'
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S:\PERMITS\ENCROACH\INSURANC\6300 Quaking Aspen St.doc