HomeMy WebLinkAbout03-30000024
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ENCROACHMENT PERMIT
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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 an public property or right of way as therein defined.
Application Number . .
pin number . . . . . .
Property Address . . .
Application description
Owner
STANE RICHARD W & ANNIE C ..
6601 HORNITOS CT
BAKERSFIELD CA 93301
Permit . . . . .
Additional desc .
phone Access Code
Permit Fee . . .
Issue Date . . .
03-30000024 Date 5/02/03
8567
6601 HORNITOS CT
PW - ENCROACHMENT PERMIT
Contractor
OWNER/BUILDER
BAKERSFIELD
CA 93301
ENCROACHMENT PERMIT
. , .
81760
145.00
5/02/03
Valuation
o
Qty Unit Charge Per
1.00 145.0000 EA PW ENCROACHMENT
Extension
145.00
Special Notes and Comments
INSTALL 3' RETAINING WALL W/ 6' FENCE
ABOVE CONSTRUCTED - ALONG EAST SIDEWALK
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Fee summary Charged Paid Credited ..Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 145.00 145.00 .00 .00
Grand Total 145.00 145.00 .00 .00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit at any time.
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Signature of Applicant (Owner/Agent)
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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 (~OT)
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
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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 effecJ 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.
l,..have read and acknowledge the above.0KW5 Applicant's Initials
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
3. Location of the proposed encroachment: '1\'\
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4. PeriodoftUnefor~~ekZ;Uh~ned: ~
Applicant agrees that if this application is granted. applicant shall indenmify, 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.
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Applicant further agrees that upon the expiration of the permit for which this application is made, if ~nted, or YJWl
the revocation thereofb the Clt en . eer a licant will at his own cost and ex ense remove the same from the ublic
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 to Bakersfield Municipal Code Chapter 12.20 to
revoke t~ permit at any time. A 17 ~-
Date:.5 -- Z- -CJ 3 6..-k' 2> .f--./
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 A.~D (2) WaL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GRANTED) (DENIED). SAID PERMIT SHALL EXPIRE
Date:
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Signature 0 Ity Engmeer
No.
.~ ' errv OF BAKERSFIELD
. ,/'DEPARTMENT OF PUBLIC WORKS
--- ------
TO WHOM 'IT-MAY. CONCERN:".""'u",..
........._.._. ._ ..__.___ - _0__." .. _
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. We the undersigned I have no objection to the construction of a fence beside the
sidewalk within the public right of way. .. .. ..
A{\~t:}s ~A(Y\Q-
(Str t for puposed encroachment)
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(Owners Name)
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(Address of purposed encroachment)
Phone: bi/;/J g Z 7 - /7() 7
SIGNED:
1) Name:
Address:
2) Name:
Address:
3) Name:
Address:
4) Name:
Address:
5) Name:
Address:
6) Name:
Address:
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Date:3 -3J <-03
Date: 3 ~ 3> I - 0 3>
Date: tWlfr: 6 t) ~oo 33
Date:1JlM. 51, cJ 603
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Insured: RICHARD AND ANNIE STANE Pol No: 037623404
Address: 6601 HORNITOS COURT City: BAKERSFIELD State: CA
Home: ( 661 ) 827 - 1707 Zipcode: 93309 - 3419 Org Year: 97 Agent: 41 83505
Class : 4501600 **PROPERTY SUMMARY**
Status : ACTIVE POSTlNGS
Premium: $451.00+ CASH-DIR MAIL 022503
AAP : $451.00+ INSTALMENT FEE 022503
Balance: $300.64+ CASH-DIR MAIL 012703
Lst 811: $41.08+ INSTALMENT FEE 012703
Cur Due: $41.08+ CASH-DIR MAIL 122402
Due On : 3/25/03 INSTALMENT FEE 122402
Pol Type: DELUXE PLUS POLICY
COVERAGES
BASIC COVERAGE
BASIC COVERAGE
INCREASE LIABILITY AND MEDICAL
WORKER COMP-OCCASIONAL CLASS
SLOG STRUCTURES REIMB EXT LMTS
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~ Allstate.
You're in good hands.
Print Key Output
57225S1 V5R2MO 020719 A4000080
Display Device . . . . . : QPADEV04M9
User . . . . . . . . . . : A08350S
LIMITS
1,787
dQ9: ~~ 1. 000
(ENTER) CONTINUE {
(F9) VIEW BILL
p.2
Page 1
03/18/03 14:01:55
11/25
elms: N Frms: Y Dsc: Y
$41,08- Pay P1n: MONTHLY
$3.50+ Nxt Due: $78.66+
$41.08- B11 Act: INSTL FEE
$3.50+ On: 4/04/03
$41.08- ALL PERILS $1000
$3.50+
PREMIUMS DEDUCTIBLES
$1.00
$394,00
$47.00
$9.00
$0.00
} (F1) HELP (F3) QUIT (F4) BACK SCREEN
LAST
Kristin Findley
Exclusive Ayent
Allstate Insurance Company
Princeton Plaza Shopping Center
1375 Blossom Hill Road, if17
San Jose. CA 95118
Phone 408.4457200
1.888.445.0224
Fax . 408.445.7203
Email a083505@allstate.com
CA tns. Uc. -#>0706070
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Allstate.
You're in good hands.
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Bi\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 12, 2003
SUBJECT: Encroachment Permit Application for 6601 Hornitos Court.
Richard & Annie Stane
3' retaining wall & 6' wood fence wlconcrete block pilasters
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\6601 Hornitos Court. doc
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BJ\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 12, 2003
SUBJECT: Encroachment Permit Application for 6601 Hornitos Court.
Richard & Annie Stane
3' retaining wall & 6' wood fence wlconcrete block pilasters
-
RECEIVE D
MAY 1 5 2003
PUBLIC WORKS DEPARTMENT
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
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S:\PERMITS\ENCROACH\INSURANC\6601 Hornitos Court.doc