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HomeMy WebLinkAbout06-30000024 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 . . . . . . ATN (11 Digitsl : Application type description 06-30000024 Date 4501 GLENGARY PL MD 6/14/06 PW - ENCROACHMENT PERMIT Owner Contractor DEPPEN DAVID S & LAURA A 4501 GLENGARY PL BAKERSFIELD CA 93313 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 563932 150.00 6/14/06 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments APPL. FOR ENCROACHMENT PERMIT TO ENCROACH INTO ROW FOR FENCEING. CONTACT NUMBER 397-2630 DAVID Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150.00 150.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the pe . any time. J}/9v// c&e;'JM./ Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FAcrS 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~r;.s:r~ A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO RANTED) DENIED). Said pennit 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 allliability~ 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. I have read and acknowledge the above. _Applicant's Initials ---- ENCROACHMENT PERMIT 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 . . . . . Property Address . . . . . . ATN (11 Digitsl : Application type description 06-30000024 Date 4501 GLENGARY PL MD 6/14/06 PW - ENCROACHMENT PERMIT Owner Contractor DEPPEN DAVID S & LAURA A 4501 GLENGARY PL BAKERSFIELD CA 93313 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 563932 150.00 6/14/06 valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments APPL. FOR ENCROACHMENT PERMIT TO ENCROACH INTO ROW FOR FENCEING. CONTACT NUMBER 397-2630 DAVID Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150.00 150.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at y time. t?.&v,L -irwe/V' Print 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. 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 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. I have read and acknowledge the above. _Applicant's Initials ~ . - 2fe- ~ ?OI7-Jzr 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: July 12, 2006 SUBJECT: Encroachment Permit Application for: 4501 Glengary PI. Name of Applicant: Deppen David S. & Laura Description of Encroachment: Fence side yard behind sidewalk \ Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build a 6' fence/3' behind sidewalk on the side yard of Summerfield Dr. 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\4501 Glengary PI..doc 00 J~ ~ . - B.A.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 11, 2006 SUBJECT: Encroachment Permit Application for: 4501 Glengary PI. Name of Applicant: Deppen David S. & Laura Description of Encroachment: Fence side yard behind sidewalk Please review the attached encroachment permit and return to me at your earliest convenience. 7~~(Jt 'P1~r;ftJ~ qc: -p(7-AJ(,,6 -rfl-Ot1 FU"t7~ w S:\PERMITS\ENCROACH\TRAFFIC\4501 Glengary PI..doc ~ . - Bi\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Luda Fishman, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 7,2006 SUBJECT: Encroachment Permit Application for: 4501 GLENGARY PL. Name of Applicant: DEPPEN DA VID S. & LAURA Description of Encroachment: FENCE SIDE YARD BEHIND SIDEWALK Please review the insurance certificate with the attached encreachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\4501 GLEN GARY PL..doc ~FIDELlTY NATIONAL INSURANCE COMPANY 2201 FARNAM ST STE 200 POLICY NUMBER OMAHA NE 68102-1218 NH6003019 HOMEOWNERS 3 SPECIAL FORM Client ID 000000438082 RENEWAL COVERAGE DECLARATION EFFECTIVE DATE EXPIRATION DATE OS/27/2006 OS/27/2007 NAMED INSURED: DAVID SCOTT LAURA A DEPPEN 4501 GLENGARV PLACE BAKERSFIELD CA 93313 AGENT: CHICAGO HERITAGE INS SVCS 10301 DEERWOOD PRK BLVD,ST 100 JACKSONVILLE, FL 32256 (888) 333-2120 LOCATION OF RESIDENCE PREMISES 4501 GLENGARY PLACE BAKERSFIELD CA 93313 EFFECTIVE TIME IS 12:01 AM. STANDARD TIME AT YOUR RESIDENCE SECTION I PROPERTY COVERAGES COVERAGE A DWELLING $ 173,000 COVERAGE B OTHER STRUCTURES $ 17,300 COVERAGE D DEDUCTIBLE LOSS OF USE $ 1000 SHORTEST TIME TO REPAIR OR REPLACE SECTION II LIABILITY COVERAGES COVERAGE C PERSONAL PROPERTY $ 129,750 COVERAGE E - PERSONAL LIABILITY $ 300,000 EACH OCCURRENCE COVERAGE A - DWELLING COVERAGEB-OTHERSTRUCTURES COVERAGE C - PERSONAL PROPERTY COVERAGE D - LOSS OF USE COV E - PERSONAL LIABILITY COV F - MED PAY TO OTHERS LOSS SETTLEMENT-PERSONAL PROP I _ BACK-UP OF SEWERS OR DRAINS MOD FUNCTIONAL REPLACE COST DISCOUNTS: COVERAGE F - MED PAY TO OTHERS EACH PERSON/$25,OOO EACH OCCURRENCE $173,000 $17,300 $129,750 $300,000 $2,000 792.00 25.00 3.00 20.00 102.00- LOSS SURCHARGE.....$ 50.80- TOTAL POLICY PREMIUM $ 768.00 NO COVERAGE IS PROVIDED UNDER THIS POLICY FOR LOSS CAUSED BY EARTHQUAKE MORTGAGEE(S): LOAN # SUN TRUST MORTGAGE INC, ISAOA 0143958049 OAK STREET MORTGAGE ISAOA ATIM SEE REVERSE SIDE FOR POLICY FORMS AND ENDORSEMENTS FAMILIES/ YEAR OF PIG FT APARTMENTS CONSTR CONSTR PIC OIG TERR HYDRANT 001 1978 FRAME 01 ** 040 1000 MILES FIRE F. DEPT DISTRICT 5 11515H (08-03) INSURED CA 05/15/2006 FNS CH3 CS COpy 1 OF 2 0310000000 AMENDMENT PROVISION If the Declarations indicates your policy is amended, it will be effective on the date shown, and wilIProvide the indicated insurance. Such amended Declarations replaces all prior Declarations. All other tenns, conditions, agreements or limitations of the policy, other than contained on the Declarations shall remain the same. VESTING HUSBAND AND WIFE AS COM'vIUNITI' PROPERTI' WITH RIGHT OF SuRVIVORSHIP FORMS AND ENDORSEMENTS * HO 00 03 1000 * AA 00 06 10 03 * ANIMAL EXCL 07 05 * A6120 CA 0505 * A6121 CA 0505 * A6122 CA 0505 * A6123 CA 0505 * A6125 CA 0505 * A6138 CA 0505 * A6139 CA 0505 * A6140 CA 0505 * A6142 CA 05 05 * FNIC DN CA 01 06 * FN1194 05 05 * FN1197 05 05 * FN1363 0506 * HO 01 04 12 05 * HO 04 07 12 05 * HO 04 08 12 05 * HO 0446 10 00 * HO 0495 10 00 * HO 0496 10 00 * HO 23 56 12 05 * HO 24 90 08 01 * IL N 018 09 03 * INSPECT NOTICE 04 05 * PRIVACY 07 01 * ZZ 01 01 08 03 * 438 BFU NS 05 42 DATE: HOMEOWNERS 3 SPECIAL FORM TABLE OF CONTENTS IMPORTANT NOTICE - EXCLUSION PRIVACY AND ITS PROTECTION SATELLITE DISH EXCLUSION OCCUPANCY ENDORSEMENT ANIMAL LIABILITY EXCLUSION MORTGAGE CLAUSE MOLD, FUNGUS, ROT DAMAGE $2500 SECTION II-EARTH MQVEMENT EXCL AMENDATORY ENDORSEMENT PERS PROP REPL COST AMENDATORY CALIFORNIA DISCLOSURE NOTICE IMPORTANT INFO - eA CIGA CA RESIDENTIAL PROP INS DISCL CA RESIDENTIAL PROP INS BILL SPECIAL PROVISIONS-CALIFORNIA PERS PROP REPLACEMENT COST MOD FUNCTIONAL REPLACEMNT COST INFLATION COVERAGE WATER BACK UP SUMP DISCHARGE NO COVERAGE HOME DAY CARE BUS SPEC ADDL AMT OF INS COV A WORKERS COMP RES EMPL - CA CALIFORNIA FRAUD STATEMENT IMPORTANT NOTICE-PROPERTY INSP PRIVACY STATEMENT SIGNATURE PAGE LENDERS LOSS PAYABLE COUNTERSIGNED BY : key -........-- 'J x '] I j [ )',rLe y~rd \I> I ~ -,I ~. ' WaJLC,'I-I'sh ~ ! -- --- ,.~.........,-- ,..~....~+ l:- E(dwcr ffe...d ~' Plow I, "/LIe. l' 6c...re:..~c- J)fllJ (,;. vJfI, :)v/11l1?er-f,. e tel j)r(c.le~ ~" 104' . ~ '>.... L ~ ~ ~ .......... '-!) ~ ~ .-J APPLICATION FOR ENCROACHMENT PERMIT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOR1~IA: 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. . 1. Full name of applicant and complete address in~luding phone number: ~v /''d ~ d!'? P-e;1fJ efr/ ,yrd/ &'k-ifSS7 jJ/ ,,{'~/ J9?~ ~~~c:7- t?// ~/-:f'I7'-~?rc: 2. Nature or description of the encroachment for which this application is made: ~ A/ C ,5k(?fi h~t?r ./ 3. Location of the proposed encroachment: 4. Period of time for which the encroachment is to be maintained: Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless City, its officers, agents and employees against any and allliabihty, 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 upon the revocation thereofby 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 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: ,. Applicant acknowledges the right of the City Engineer, pursuant 0 Bakersfield Municipal Code Cha ter 12.20 to revoke the permit at any time. Date: ~,-J-t:?~ PERi'\1IT 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: Signature of CIty Engmeer No. I ---; " ;,' CITY OFr BAKERSFIELD DEPARTMENT OF PUBLIC WORKS 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. 1/)0 { 6M::%!AV II (Street fo pu1fc>sed encroachment) of (Address of purposed encroachment) SIGNED: 1) Name: Address: 2) Name: Address: 3) Name: Address: 6~ -~IIM tt:tP flZ./ !YJ ~ f/l/''d' V\ ~ I () 4) Name: {I ( <::::L<.A f\A/)^J v r l-'1~.A.-lIP 5)A~::::S: ~~~pY Address: 4-~rr (;'J-r'lJ9 '7P, Y f1L 6) Name: ~ ~ ~r Address: 00 Z ~ jJ./, t-"- n <{"-- By: J)/iv,t cI 8-€fA I (Owners Name) Phone: Date: ~ /~... ~ Date: 0 .l))// ~'b> f Date: @/;O / a;, Date: ~- /I ~ 6l.o . Date: i, - /f"dt Date:~// . tf ~l