HomeMy WebLinkAbout04-30000064
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 . .
pin number . . , . . .
Property Address . . .
Application description
04-30000064 Date 10/11/04
5156272 ,.-
122 MINER ST
PW - ENCROACHMENT PERMIT
Owner
Contractor
REED THOMAS J & ANNE M
122 MINER ST
BAKERSFIELD CA 93305
(661) 631-0785
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . , , , .
Additional desc ,
Phone Access Code
Permit Fee , , ,
Issue Date , . .
ENCROACHMENT-PERMIT
282145
150.00
10/11/04
Valuation
o
Qty Unit Charge Per
1. 00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
ADDING A 66' X 48" FENCE AND 66' X IS"
CINDERBLOCK RETAINING WALL,
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 Engine r, pursuant to the Bakersfield Municipal Code Chapter 12,20 to revoke the
permit at any time.
Signature of Ap
~i /1I~//j/l5 T tf},?,(/
. nt 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,
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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,
!)<:ve.r~nd acknowledge the above,
/!:/-7~nt's Initials
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PUBLIC WORKS DEPARTMENT
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E A KE R S FIE L D
PUBLIC WORKS OEPARTMENT
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MEMORANDUM
DA TE: January 20, 2005
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, C,E, III - Subdivisions
SUBJECT: Encroachment Permit Application for 122 Miner Street
Thomas and Ann Reed .
Fence Construction
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of the fence, The site is located at 122 Miner 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 the review, staff recommends approval of the permit.
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BAKERSFIELD
P UBU C WORKS DEPARTMENT
Traffic Engineering Memorandum
DATE:
January 20, 2005
TO:
Pat Flaherty, Risk Manager
fV1-M-
FROM:
Marian p, Shaw, C.E. III - Subdivisions
SUBJECT: Encroachment Permit Application for 122 Miner St.
Thomas and Ann Reed
Fence Conctruction
Please review the insurance certificate with the attached encroachment permit and return
to me at your earliest convenience.
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
Traffic Engineering Memorandum
DATE:
December 10,2004
TO:
Ryan Starbuck, C.E. III - Traffic Engineering
FROM:
Marian p, Shaw, C.E. III - Subdivisions
SUBJECT: Encroachment Permit Application for 122 Miner Street
Thomas and Anne Reed
Fence Construction
Please review the attached encroachment permit application and return to me at your
earliest convenience,
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APPLICATION FOR 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 publi,~,property or right-of-way as therem defined.
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1, Full name of applicant and complete address including phone number: -r hn"tYIq A "J". f? EED
/a~m;AJr;I{. 5-lMBJ' CA '[?;305 0$/-67y;/3
i. Nature or description of the encroachment for which this application is made: ~(pf X q>, J'/ fe-tic. e
(p~-^'.Jf' ",,,f)({5'C/'V1J~({ ~k~t< f~"*ct~J\J;:~i wdH ho~ uo;-/-f;",,',j
L./ i o-P ...J11~ I~ I .s~If!J({0K .... To fr6\e.c-l d;(dlfeVl ~ !~+S' ~OW\ P<.l.s'1 <;.tv~"
3. Location of the proposed encroachment: ~()Vl~;'lJi W};A.)~/t.? ~+ "~J )('1<l'/1 (p(o'itr;;.I/ .
{
cS i4 e. \JSf-~T sa I x 4~" ~V1 ce.. .- TIIlfa co"" t;A)(J~ N<J~TH Liv'/6tl1e V' <r I
4, Period of time for which the encroachment is to be maintained: F t>~~ -(.. k e.. l; p~ 0 {} fl"lt...
J2:1f11f--lrv~ vt u~ej... 4Vtj ~eN if- 4fp \y tflo.,. tL rev' Jt1,t+- --(-0 v-e.;> la.~e.-
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless City, its officers,
agents and employees against.a.t;1y an~ allliabil}ty, ~1Cl;ims, ac~ioJ:?s, cau~es of action or deI!1ands, whatsoever ~ainst them,
or any of them, before administrative, quasi-Judicial, or JudiCial tnbunals of any kmd whatsoever, arismg 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 revoJ<.ed,
Applicant further agrees that upon the expiration of the fennit for which this application is made, if granted, or !illQ!!
the revocation thereofbv the City engineer~ applicant wil 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 keel' all liability insurance required by the City Engineer in full force and effect
for however long the encroachment remams. Applicant 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:
~v^GU1_~Vl5<tVOlJlGe.. 1+5$0 a,,/~.~'r- oN f-/.oVvte O.....:;~$ 1"6(('1<: '1
'0'rr,?QV\~ \ tl~b: t;~ i Cb<.)evQ~e $ ~O(!) \ 60 0 ~QC.~ <:)cCqva.ttce.-
. Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time, ,
Date: ill. II. 0,/
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 Engineer
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urange Insurance ASSOClaIlon
200 Cedar Street
Seattle WA 98121-1223
HUMI:UWNI:H~ tlULIl;Y
PRIMARY DWELLING
--EXTENSION CERTIFICATE
Insured:
THOMAS REED
ANNE REED
122 MINER ST
BAKERSFIELD, CA 93305
Your Agent is:
WALTER MORTENSEN INSURANCE AGY
4701 STOCKDALE HIGHWAY
BAKERSFIELD, CA 93309
(661 )834-6222
,
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Policy Number: 1Z00815914
Printed Date: July 19. 2004
Polley Period: Effective Date: August 31, 2004
.E>cpiration Date: Augu~ 31. 2005..
12:01 a.m. standard time
/
The premises covered by this policy is located at:
122 MINER ST BAKERSFIELD
CA 93305
Your Total Annual Policy Premium is $
995.00
Deductible for Section I Property Coverage is $ 500
In case of a loss we cover only that part of the loss over the deductible stated.
Coverage is provided where a premium or limit of liability is shown.
Coverages
Section I Property Coverages
A. Dwelling. . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . " . . . . . . . .. $
B. Other Structures .....,..................................
C. Personal Property , . . . . . . . . . . . . , . . . . . . . . , . . . . , . . . . . . . . . . .
D. Loss of Use . , , . . , , . . . . . . . . . . . . . . , . . , . . . . . . . . . . . . . . . . . . .
Umit of Uability
Premium
237,000
23,700
118,500
47,400
$
977.00
INCL
INCL
INCL
Section II Liability Coverages
\ E. Personal Liability: each occurrence. . . . . . . . . . . . . . . . . . . . . . . . . .
F. Medical Payments to Others: each person ....................
300,000
5,000
10.00
8.00
Basic Premium
$
995.00
Total Annual policy Premium
$
995.00
Forms and Endorsements - The following forms & endorsements, together with the most current Declaration of
Coverages, make up your polley.
Form Ed. Date Form Title I
438BFU 05-42 LOSS PAYABLE I
B0060 10-02 LIABILITY POLICY EXCLUSION I
80061 10-02 LIMITED FUNGI, WET OR DRY ROT, BACTERIA I
H00477 0491 ORDINANCE OR LAW COVERAGE I
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/crt{ O'-:!SAKERSFIELD
" DEPARTMENT OF PUBLIC WORKS
. TO WHOM IT Mi\ YCQNC~RN: ... ul1/t6i2fJv--JrQ I AleL<jub O'{f- t/
We the undersigned, have no objection to the construction of a fence beside the
sidewalk within the public right of way.
/ J~ JIl'J//AS +
(Street for puposed encroachment)
BV:l1rJu{"~ ~t- h~o
(Owners Name)
of
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(Address of purposed encroachment)
Phone:
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I SIGNED:
G) Name:
Address:
Date: 7 .- /y/ of
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. Date:
Date:
It II. 01
5) Name:
Address:
Date:
6) Name:
Address:
Date:
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., DEPARTMENT OF PUBLIC WORKS
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TO WHOM IT MAY CONCERN:
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. We the undersigned. have no objection to ~e construction of a fence beside the
, sidewalk within the public right of way.' .
/;~ JI1'J/b~ .$:'+
(Street for puposed encroachment) ,
BV;~1J~~S,' /t~O
(Owners Name)
of
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(Address. of purposed encroachment)
Phone:
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(9 Name:
Address:
Date:? ... /i/ ().r
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