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HomeMy WebLinkAbout04-20022302 ENCROACHMENT PERMIT (?#~/ J--\ ~A. ::{oV" 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 -------------------------------------------- ENCROACHMENT PERMIT 183293 150,00 2/25/04 valuation o Qty Unit Charge Per 1.00 150,0000 EA PW ENCROACHMENT Extension 150,00 ---------------------------------------------------------------------------- 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. , / ignature of Applicant (Owner/Agent) ~ l ,'\" .J .. , 0.. ......_ rint Name ~ . \LC;) S-\-v-.~ 0( 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 /' 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 i " f .,,"'~. ~ . 13~ -- ~\L. ~ ~l;l-1 - 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 ( - \, JtO~-J;t3o~-' \ / .' ' l. ;i . , ... 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""'\'- - \ , ~ .,... '-.>... L -.\(....'-- ~~ ~" J ...... (V.u\Aj r~'" <. tL,.. .w.. 0 u-r- Go\. 0-5 "-'("'" ..;/ ~t' JO 75" J-.~ 5 ~-<!.~-\- V("Q--. C;.) '0 If' s';)...\L. o~ \\-o\) ::,\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''\. -' 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 " . \~.-v o"'V'^ ~ c::; -~'"' S'-'l"~\^ <A. "' -9- 0 \' ~ D~" , {) ~ -€ 'C f" .L.r:.h .,j...... \.-; "'\o.~ .\~ 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 I/.' ~ ~" , , {r.O CI"FY O~ ,BAKERSFIELD "" DEPARTMENT OF PUBLIC WORKS . ,I . / 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,. , "-:" \~. ." SIGNED: 1) Name: M.lGlAcrL Aj2otJ3)kJ Address: \o~o ~--\- . Date: 2,-{ C)~ Date: J./ d.-%~ Date: J../ d--o / 'v~ . 2) Name: &.J....\L "\ "'" ~ ,,~~ )"\" . 4) Name: Address: Date: 5) Name: Address: Date: 6) Name: Address: Date: r f, , . . . 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 "~ L) q:.e.i'\.""~ .. - r. ;l ,/ C;;5' " "y" 'L/ '<0 ~'\.-~ .....~ /'J ..sz.......... "" \... \-e ""'r ,~ ) \0 \ -- *" ~ '* ^",,~-J &-' ~)(\:"'-"''''d " '-\ I I / I'~ I I r \ cr-.a.."'^(....~ * C! ~J ....1_ \ \ II I / I ;-_1 A-rQ..~ [I ,-,("('q"",~\ .Ii "\!:' (' 0.. So s q\ ,Ii ::=:::s: u ~ <be- '......'h-.. ~ / CO\"'~'{~..'.\o ~'.~ o~ S',,;;...'tJ w A-\..~ " i: ~-\-~~ . I , L '< \ \ \,,\\~....... ~ f(F r tI vv-... !'V4,..W vJ~\\ """\.0 ~ )C,~""'\.......~ G V'b. -----7 --- ~~-\ So".... ~\ "'Q S~r<"LC'(..~ ~ ,- Q.. f" -r-' ~ t-tb.\Js ~ ~ t \.0 -:l. o() ~u,\.-\~ ( ~ A;"-~~~\~" ~: lt~ ., e""",o , ~ " is 1\ I I I I ~~ , (l:) ~1:>/ (j:.~~J ,. , " "' ~J _ __ \-'"\ -\1-- -- ;N~""':> rv.J fa.. \ \ ~ " t~ - .J .~ ~,~-'"i-';..,~ '5', J.~ ~~~ ~ ~ v ("'0 0- S,~4,., ~"""-..;) ~'" ~'t.-)..... ^-5 .:s.... s... - \...J ....\.... 'i-.. .J " \- .JZ.. 0.. ..j -. '" ~ 1- ~A-~WQ..~^, \.,J o..\..... ~ .,.. ~ "J' \.. r~c..,... W~\" ~ c........... s~..-Il rm~ {t I W((ILS ~------- Cs~o..-r' L ~"'~ .I . " , .-----. ~ . - 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. 3/ ul ~4 . 1t1Yl/cAlrff(7 !/:..e-rc. 6' P()~ tJO'f ~ M~ufJ"(P! IlJpO(ZJ.J1!t-c1v tJ. t>. [c... ~OM "Q'I-~rc. ~ '". S''fAtJV'6IUr l'f f'~tJC,e p~e) Nfl( e~"CetJ(J CO It' fU vr ItJl'I~11 '('(:fCf "O')C " I 'T1--l"';aL.~ F01Z- UNt-WifZ.Qu..aP 'IJ1eJtSG"cm OJJf. M , MPP S:\PERMITS\ENCROACH\TRAFFIC\6300 Quaking Aspen St.doc I~~ ~ . - 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' ,; ,1 S:\PERMITS\ENCROACH\INSURANC\6300 Quaking Aspen St.doc