HomeMy WebLinkAbout04-30000051
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIEW CA 93301
(661) 326-3724
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ENCROACHMENT PERMIT
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 . . . . . 04-30000051 Date 6/17/04
pin number . . . . . . .150761
Property Address . . . 6401 CHEWACAN DR
Application description PW - ENCROACHMENT PERMIT
Owner
Contractor
SPINNER JEFFREY DALE & HIROMI
6401 CHEWACAN DR
BAKERSFIELD CA 93309
(661) 836-2808
OWNER/BUILDER
BAKERSFIELD
CA 93301
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Permit . . . . .
Additional desc .
Phone Access Code .'
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
234708
150.00
6/17/04
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
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Special Notes and Comments
MOVE SIDEYARD 6' TALL FENCE TO SIDEWALK
ON SIDE STREET SIDE
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
Grand Total
150.00
150.00
150.00
150.00
.00
.00
.00
.00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
. permit a~ai1y time.
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Pnnt 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.
A_
Signature of City Engineer ~ ----
Additional Terms on the Back .
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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.
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. '~\!. T.ead a'!f'aqlawwledge 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: June 30,2004
SUBJECT: Encroachment Permit Application for 6' wood fence 3' behind sidewalk along
said yard.
Jeffery Dale & Hirami Spinner
6401 Chewacan Drive
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the
installation of a 6' wood fence 3' behind sidewalk along said yard. The site is located at 6401
Chewacan 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 of the permit.
S:IPERMITSIENCROACHI03-04 Permitsl6401 Chewacan Dr.doc
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF rHE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersisned applies for a permit to
place, erect, use and maintain an encroachment on publi,c property or right-of-way as therem.defined.
1. Full name of applicant and complete address includ~ phone number: J e~ Sf \,flX'l,er
fu:t()(CJYtewa.CaH\ br, . ~akersfte\,d.. cA Q330C{ b62l- ~3<O- 280g
2. Nature or description of the encroac~ent for which this appli~tion. is/made: MOv-tVl~ ~ t(A.,S+
~e .f~(J~. clos.ex- to tke StJewo.ll to i11jl
I{JLfOI CIJe~f1tf1fl d
3. Location of the proposed encroachment:
4. Period. oftime for which the encroachment is to be maintained:
Applicant agrees that if this application is ~ed, applicant shall indemnify, defend and hold hannless City, its officers,
agents and employees against.af!Y ~ all babil~ty, ~l~uns, ac~io~s! cau~es ot" action or d~ds, whatsoever ~ainst them...
or any of thein, before administrallve, quasi-Judicial, or Judicial tnbunals of any kind whatsoever, ahsmg out 01,
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 tIiat this permit is revo)ted.
Applicant further agrees that u'pon the expiration of the permit for which this application is made, if granted, or u on
the revocation thereofb the CI en ineer a licant will at his own cost and ex e remove the same from the lic
DrODertv or nght 0 way where the same is located, and restore said pub ic 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 kee{' all liability insurance req,uired by the City Engineer in fuU force and effect
for however long the encroachment remams. Ap'plicant shall furnish the City Risk Manager with a Certificate of
Insurance evidencing sufficient coverage for bodily mjury 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: 6- \ ~ - 0 ~ .
Sl r p leant Owner or Representative)
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACfS STATED IN mE
FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1)
wn..L (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF mE PUBLIC PLACE WHERE mE
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:;g.J .~. n .CR.. .
_ . 5/ Signature of CIty Engineer
No. . .. .
o.'GlOUPDA'N'CIIIIII~Pcm1iIAn.wp4
_~____~__~~__.IaA.Ies~_"e~ 900/~nn :;rnV'd .BE;: ~ pQO~/tlT 19
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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 of a fen~e behind the sidewalk, or other
encroachment as shown on the plot plan:
6~eLua.c().(\ Dr~\1e
(Street)
By:
3"e+(' S P {\1;nex-
(Owner's Name)
of
hL10\
Phone: hbl- <g3h- Z.g08
(Address)
SIGNED:
Date:
6/15/0 i
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2)N
Address 6~ (;A(.J)))tJ.&~..Dr:
3)Name~~,~
Address 3000 Lau~,i W
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5) Name \~ ak-
.Address SJ C1rv~ ~
. Date:
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Date:
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Date:
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Date:
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6) Name
Date:
Address
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LocatIon
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r;. ("'-..' 1I.~."T.r..._..,_..:..""''''_ 0.,.....1_"_..........
~aA~aS X~d 900/Z00 3DVd B8:8 vOOZ/vT/9
x~d+q2l'H
,~~n.,...16-04 l.0: 53A ~anE!ll Priddy
P.Ol.
Policy Number: XH0202852
effrey Dale Spinner & Hh'ODli Spinner
HOMEOWNERS I
F.ffccth'c 06/16/2004 Declaration Numbcr 002
12 Month }'olicy Term Continuous from 06/22/2003 at 12:01 AM Local Time or Until Cancelled or Non.renewed
Mail To:
JctTI'cy Dalf! Spinner & lliromi Spinner
6401 Chewacan Dr
Bakcl'sncJd. CA 93309
Local Office:
5301 Truxtun Avenue Suite 100
Bakersfield, CA 93~~09
(661) 327.6940 (800) 499-3612
Claims Emergency At'ter Hours Number:
I-HOO.235-87R4
CH^NGE POLICY DECLARATION
"
Your policy has becn changed cfTcClivc 06/J612004. This change will be referred ro a~ Declaration Numbel' 002 and perfurms the
folluwing: Change Liability LlrnlL ..
This change in your policy did not affcct your premhllll.
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Insurance i'i to he provided only with respect to the location(s) and/or coveragc(s) for wWch a limit of'liability L" specified
and premium is charged, subject to all 01' the conditions lit' this polky,
Named Insured: Jeffrey Dale Spinner & Hiromi Spinm:r
l,egal Te~: Husband ilnd wife liS jojnr tenanlS ..
Property Dcscrll)tlon: Address: 64Ul Chewlil:an Drive, Bakersfield, CA 93309
Construction: l;mme Year Built: 1982
Pmtecr.ion CI~ss: 3 Root': Unknuwn
Tell'itory: 54
Section I CovcrQ~cs: . 110 3
A - Dwelling:
B - Other Structures:
C Personal Property:
D.. Loss of Use:
Limit
$ 140.000
$ 14.000
$ 98,500
$ 28,100
Dcductible of $ 500
applies to Coverages .4, B or C
for anyone Joss,
Prcmiulll
$ 43R
Included
$ I
Included
Section II Coverages:
F. - Personal Liability:
F. Medical Payments: Each Person
Each Accidenr
~$ 300,000
$ 1,000
.$ 25.000
$ 25
Included
Included
Settions 1& H:
Additional Cllvera~cs:
CredilslDebits:
CA Surchorgc:
TOTAL:
S 4ft4
S HI
$ -119
$0
$426
Thi~ poli~y is subject to the following forms and endorsements allached tu and made pal'l of the pulicy:
HOOOO3-0491, 438Ul;U NS-0542, H0044Ci..0491; HOO490~0491 , H00496~04!J 1. H02A90-OJ 93; n030lH292, H052-04R4, S11001-
! 0500, SIlOO~-0797, SHO 13-099R, SIlO 14-0500
r~'"nter'''''d' "9..;0 fatl
,
I
PH Decl-a
1NSURED
Datc Primed 06/16/2004
~un~16-04 10:S3A Janell Priddy
P_02
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Personal Express Insurance Services, Inc.
5301 Truxtull A vcnue Suite 100, Bakersficld, CA 93309
lJnu~rwri lien by ~cllullia tllsuralll:~ (:Ulnllany
Policy Number: XH0202852
Jcffrey Dale Spinner & lIirolni Spinner
HOMEOWNERS INSURANCE POLICY
~tlective 06116/2004 Declaration Number (">>2
12 Month Policy Term Continuous from 06/2212003 at 12:01 AM Loeul Timc or Until Cancelled or Non-renewed
Additionsl Coverages: Form Limit Premium
Personal Property Replacemenl Cost HOO490-0491 Refer to Form $44
Specifed Add" AmI Insunlnce Cov 'A' SHOOg.0797 Refer to Form $10
: 11.0. PIllS Endorsemelll SHOO 1-0500 Re far to F ()rlll S .,.,
',j, ..1.1
Workers Compensation H02490-0193 Refer to Forn, $5
Additional CoverQ~e Prcmiuul SlH
......
Credits . Savings included in Tow] Annual Premium
Renewal Credit $ -44
Prorecrive Device Credit $ -22
Policy Deducrible Credil $ -53
....-..- ..
I'..opt:rly lnsurance Di...closurl!!:
Thiloi Lm:ation Includes Spccific.d Additional Amount of Insurance for Coverage A - Dwelling.
This LOl:alion Does Not Include Earthquake Coverage.
This LOL~atinn May Include Building Code Upgrade. lip to 10% orCovcraga A Limir, ns perl'orrnSHOOI-0500.
This LOl:ation Includes an Annuallntlation Guard of 2(J,tI,
MOI.t~"~cc 1: WClshiilgton Mutual Bank, FA
It Successors And/Or Assigns
P .0, Box 2530R
Santa Ana, CA 92799-0
Mortgagee 2: American Fim Federal CrediL Union
irs Successors andlur Assigns
P.O.llox 11042
Orange, CA 92856
Loan Number: 03-04IB-006598954-3
LoaD Number: 25790-72
PH Ded.a
iNSURED
Date Prinled 0011 (i/2004
.Jun~16-04 10:53A .Janell Pr;ddy
, "
P.04
Personal Express Insurance Services, Inc.
53111 Truxtun Avenue Suite lOO, Bakersfield, C^ 93309
lllll1CfwrillCIl by S,~qul)ia Insurancc COIllP.'lIy
Policy Number: XH0202852
Jeffrey Dale Spinner & Hiromi Spiuuer
HOMEOWNERS INSURANCfi: POLICY
Effective 06/22/2004 Declaration Number 003
121\(onth Policy Term Cuntinuous from 06/22/2004 at 12:01 AM Local Time or Until C"ncl~lIcd or Non-renewed
Additional <'~Ilverages:
Spcl:ifed Add'l Amt Insurance COY 'N
H.O. Plus Endorsemenr
Workers Compensation
Persuna) Property Rep)1lCemel11 COSI
FOrm
SH008-0797
SHOOl.OSOO
H02490-0193
H00490-0491
Limit
Refer tn Form
Refer to Form
Refer lu l-'urm
Refer lO 1 ;urm
Premium
$ 10
$ 29
$S
$ 58
Additional Coverage Premiunt
$102
(redits .
Renewal Credit
Prorective Device Credil
Policy Deuucliblc Credit
Debil.S
Wood Roof Additional Premium
('
Sa\'ings included iu.Tolal Annual Premium
$ -58
$ -29
$ -12l!
Additional Premiums included in Total Annual Premium
$ 87
l'ropcrl)' Insurance Disclo!'iUI'c:
This Location Include... Specified Addilional Amounlof Insurance foJ' Covc:rligc A - Dwelling.
This Llll~atiCln Ooes Not Iuclude Earlhquake C(lYera~e.
This Lucation May Inelude lluilding Cllde Upgrade. up (010% llrCovcrage ^Limit. as per Form SHOO 1-0500,
This Lucar.ion Includes an Annuallnllation Guard of 2%.
MlIrlgagtc 1: Washinglon Mutual Bank. FA
It Successors And/Or Assigns
P.O. Box 25308
Santa Ana. CA 927~9-0
Morlgaget 2: Ameril~an first Federal CrediL Union
ils Sucl~esso..s and/or Assigns
P.O. BOl( 11042
Orange. CA 92~56
Loan Number: 03-0483.006598954.3
Luan Number: 25790.72
PH Dec2-a
I NSlIRED
Dale Printed 06/ICi/2004
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B j:\. K E R S FIE L I)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: June 25,2004
SUBJECT: Encroachment Permit Application for 6401 Chewacan Drive.
Jeffery Dale & Hiromi Spinner
6' wood fence 3' behind sidewalk along side yard.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\6401 Chewacan Dr.doc
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B~i\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: June 25,2004
SUBJECT: Encroachment Permit Application for 6401 Chewacan Drive.
Jeffery Dale & Hirami Spinner
6' wood fence at back of sidewalk along side yard.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\6401 Chewacan Dr.doc