HomeMy WebLinkAbout07-30000028
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
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 . . . . .
Property Address . . . . . .
Application type description
07-30000028 Date
3301 BAYLOR ST
PW - ENCROACHMENT PERMIT
7/27/07
Owner
Contractor
GIVEN KIRK R & ANNETTE
3301 BAYLOR ST
BAKERSFIELD CA 93305
OWNER
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Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date
ENCROACHMENT PERMIT
708339
200.00
7/27/07 Valuation
o
Qty Unit Charge Per
1.00 200.0000 EA PW ENCROACHMENT
Extension
200.00
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Special Notes and Comments
Build a side yard fence on Vanderbilt St
3' retaining and 6' fence.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 200.00 200.00 .00 .00
Grand Total 200.00 200.00 .00 .00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
pe' time.
LL\ Y2-tL-
,
Print Name
G\vEW
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 (N~E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREF0J.~DENIED). Said permit shall expire on date stated above,
Signature of City 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, 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 s~id 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.
I have read and acknowledge the above.
_Applicant's Initials
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B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M, Rojas, Public Works Director
FROM: Marian p, Shaw, Civil Engineer IV, Subdivisions
DATE: September 15, 2007
SUBJECT: Encroachment Permit Application for: 3301 Baylor
Name of Applicant: Given Kirk R & Annette
Description of Encroachment: Build a 3' retaining wall with 6' fence on top.
This will exceed city code, but is acceptable because 3' retaining wall not
counted as part of the fence.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to build a retaining wall and fence in the city R.o. W,
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\3301 Baylor.doc
07-
28
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B .~ K E R S F I E L L)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian p, Shaw, Civil Engineer IV, Subdivisions
DATE: August 6, 2007
SUBJECT: Encroachment Permit Application for: 3301 BAYLOR
Name of Applicant: Given Kirk R & Annette
Description of Encroachment: Build a side yard fence on Vanderbilt St. 3'
retaining wall and 6' fence on top.
Please review the attached encroachment permit and return to me at your earliest convenience.
8/0'7/ 'Z 007
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S:\PERMITS\ENCROACH\TRAFFIC\3301 Vanderbilt St.doc
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OB i\. K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian p, Shaw, Civil Engineer IV, Subdivisions
DATE: August 2,2007
SUBJECT: Encroachment Permit Application for: 3301 Baylor St
Name of Applicant: Given Kirk R & Annette
Description of Encroachment: Build a side yard fence on Vanderbilt St, 3'
retaining wall and 6' fence on top.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience,
~.
/
S:\PERMITS\ENCROACH\INSURANC\3301 Baylor St..doc
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNL-\:
Pursuant to the provisions of Chapter 12,20 of the Bakersfield Municipal Code, the undersigned applies for a pennit
to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined.
1. Full name of apolicant and complete address including phone nwnber:
~o 1 ~l...a~ S~ ,=!.~o'S
'1('J~ ~lllefJ
811.. ~'Io I
2. Nature or description of the encroachment for which this application is made:
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3. Location of lb. proposed en~
5outk. ~ ld..c.. oP YO I" .
4. Period of time for which the encroaclunent is to be maintained:
,un-h l Su~- -linteL ~. -{k, t pM,,,nj:- .l~ ~~"okld
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 allliablluy, claims, actions, causes of action or demands, whatsoever
against them, or any pfthem, before administrative, quasi-Judicial, or judicial tribunals of any kind whatsoever, arising
out of, cormected with, or caused by al'2licant's placement, erection, use (by applicant or any other person or entity)
or maintenance of said encroachment. The applicant further agrees to maintain tlie aforesaid encroachment during the
life of.said encr~achment or l:1Iltil such time that this permit is revoked. ' '. . ',' .
VaIld.eV"Io.~.s'U ~~ )
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Applicant ~rther agre:s that upon.th~ expiratio!l ofthe.p~t for which this application is made, if granted, or'~
the: revocatIon thereofbv the Cltv emzmee:r. aDohcant wtIl at his own cost and exoense remove the same from the public
prooertv or right of way where the same is located, and restore said public property or riaht of way to the condition
as nearly as that in which it was before the placing, erection, maintenance or existence or said encroachment. .
. .
Applicant further agrees to obtain and keep allliabilio/ insurance required by the City Engineer in full force and effect
. for however" long the: encroachment remains. Apphcant shall furnish the City Risk Manager with a Certificate of
Insurance cvide~cing sufficient coverage for. bodily inj~ 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,Pursuantto.~ersfieJi..Municipal.C9de ...ChJrPJ.e~.2.20 to
revoke the permit at any time. . ..
Date: ~~
1 t wner or epresentat1ve
PER.~1T
I HEREBY CERTIFY THAT I HAVE MADE A..~ INVESTIGATION OF THE FACTS STATED L"i THE
FOREGOING APPLICATION Ai~D FIND ffi-\T THE MAINTENA.~CE OF SAID ENCROACHMEN"I' (1) WILL
(NOT) StJBST.'\~vrIALL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAo"IE IS TO
BE LOCATED A~ (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID AlPLICATION IS THEREFORE (GRA.~TED) (DENIE.D), SAID PER.J.'\IIT SHALL EXPIRE
Date:
~~1ty Engmeer
No.
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- Cr:"YO~BAKERSFIELD
., DEPARTMENT OF PUBLIC WORKS
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TO WHOM IT MAY CONCERN:
We the undersigned. have no objection to the construction ot a fence beside the
sidewalk within the public right of way.
of
SIGNED:
1) Name:
Address:
2) Name:
Address:
, 3) Name:
Address:
4} Name:
Address:
5) Name:
Address:
6) Name:
Address:
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V Vi t'\clu \0 t l1"-
(Street for puposed encroachment)
\L\~ Glvet.J
(Owners Name)
Bv~
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(Address of purposed encroachment)
Phone:Jl' \ -<610 I .
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Interinsurance Exchange of the Automobile Club
Members' Preferred Homeowners Policy Coverages and Limits-
Policy Change Declarations - Form 3
m
Insurance is in effect only for the property, coverages and limits of liability shown on this declarations page and set forth in the
insurance policy and endorsements.. These declarations, together with the contract and the endorsements in effect, complete your
policy.
YOUR NAME AND MAILING ADDRESS
GIVEN, KIRK AND GIVEN, ANNETTE
3301 SAYLOR S1:
BAKERSFIELD CA 93305-1651
HOMEOWNERS POLICY NUMBER
CHO 006618990
POLICY PERIOD (PACIAC STANDARD TIME)
EFFECTIVE DATE OF THIS POLICY CHANGE:
06-28-2007 12:01 A.M.
EXPIRA TION DATE OF THIS POLICY;
05-24-2008 12:01 A.M.
LOCATION OF RESIDENCE PREMISES (if different from mailing address above)
.-
YEAR BUILT: 1956
----" "-,---- -. - - ---~ ----.-- ____.___--c-_~__ _"___ ___ _ ,------ ~- -- --.".".- -- ----- ~--- ._--~-----_..
SUBJECT OF POLICY CHANGE THIS IS NOT A BILL
Coverage and Limits Change This change increases your premium for the remainder
of your policy period by $31
PREMIUM DISCOUNTS APPLIED TO YOUR POLICY
Multi Policy Roof Type Mature
Fire Alarm
Dead bolt
Single Story
Loyalty 4 yrs
I I
COVERAGES AND UMITS OF LIABILITY - Coverages are subject to all conditions of this policy.
Part I Prooertv Coveraaes
Description Deductible.
Dwelling Coverage A- Yes
Other Structures Coverage B- Yes
Unscheduled Personal Property Coverage C Yes
Loss of Use Other Coverages 1. (20% of the amount of Coverage A) No
Building Code Upgrade Other Coverages 5. (10% of the amount of Coverage A) Yes
The limit of liability for this structure Coverage A is based on an estimate of the cost to rebuild your home, including an approximate cost
----foI:Jabor:.and.materialsjn~your-area.andspecifjcjnformatiOI1_thaLyou.have -provided-aboutyour_home.___ __ '._ _ u____u_.__ ___.
· A deductible of $1 ,000 will apply as indicated per occurrence.
"Coverage A and Coverage B - Guaranteed Replacement Cost Included.
Limits
$198,000
$19,800
$148,500
Part /I Uabilitv Coveraaes
Description
Personal Liability Coverage D (Bodily Injury and Property Damage) -Each Occurrence
(Personal Injury) in the Aggregate
Medical Payments to Others Coverage E - Each Person
Part IV Workers' Comoensation and EmDlovers' Uabilitv Coveraaes
Description
Workers' Compensation Coverage F - statutory
Employers' Liability Coverage G (per Conditions Part N Provision 3)
Residence Employees - Outservant(s) 00 I Inservant(s) 00
THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE
Limits
$300,000_
$5,000
PROCESS DATE: 06-27-2007
~~1A
D628D7
PLEASE KEEP WITH YOUR POLICY
(SEE REVERSE)