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HomeMy WebLinkAbout03-30000024 ~ ENCROACHMENT PERMIT _ 9B~ 30 (;2 7 (3-~ 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 " 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. d~/_f4- Signature of Applicant (Owner/Agent) ~~JwJ w S!c,n-C/ - 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. ~ Signature of City Engineer I 3. f9?, /')l\ 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 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 f. " (01. 3X I (p (11cS>" r-{ elock 1ft ttelo.,J' \k~;~ Wo1\ ~ eel,,",,"' p\.~ ~",-';'rc.q wi\-'" IW^~ woOL) Fel1C.:J\.') rol To loP 01 WOod ~ e. e I /., 5 ~ lice}:. pi 1M Re~ "-~ ~"~~k \1N<J.'J""fo foo~~'j foo\'; 1\.). .. .----- . . . '. &001 fIorNAos ~-J- qs30Q -- ~ --- ---- ./"" v/ . wooJ fe.nc;^j . . 15,"'---. -------. l......._1 . r;/ ~. .'" ~ .~ t.rop~ oCf ""Icgf . ^- --.../- f;:J ",.. . - ~ // .[2 I --:$- ? of: o I I I I I i ! . i I I ! i I , i ! I , ; f G ~ '''1 C. - " ~ ~ ~ VI ~ ~ ~ '''-;1 - ~,'t5.:;J-c~ -- --.. Pr~~\:.i. klJ\. -~ I ~u N ,) u) tw\ "("1 ..;. ,.:, ~ . -I fP'f 'I I , I , I \ I I 0 ' vll i':- ~I ,,<~ M.'G/O ..~ " - oS , ~w6 Fc ce ..... . F~o'" (!~/I..J..if J $-\-rc ~}. To F<'~ / ..,0 / . ~p{)1 & \AJ '" '"J '] \--;;) f; tv \} . . .-- ~< '"__ ~J, "'-, ,/ '- a 0-, ~ -7 J . , i , ~ , ;J ~ " '" .a --+ - 2 l.. .(I i I \ 1 I ~ i I i f I \ ! ....../..",... ./.... .. APPLICATION FOR ENCROACHMENT PERMIT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA: 3. Location of the proposed encroachment: '1\'\ ~)~~ ~~~ ~v.N/' ~\ \ ~~ c.\wn, P ~.~ €ct,~-\ 5(d~ at eu,'-V~'"f 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. ~ t:\b.~ 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: ~~ Signature 0 Ity Engmeer No. .~ ' errv OF BAKERSFIELD . ,/'DEPARTMENT OF PUBLIC WORKS --- ------ TO WHOM 'IT-MAY. CONCERN:".""'u",.. ........._.._. ._ ..__.___ - _0__." .. _ .. . .<- ,-' -- _.' ~._" '."'". -. .~- - . 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) Bv: 12,'~ tv; u) :\Vcvl ~ (Owners Name) of lo0O I IJar f\J \~ c.., +- (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: CD .4..0-___ "'."_. __H___" , Date:3 -3J <-03 Date: 3 ~ 3> I - 0 3> Date: tWlfr: 6 t) ~oo 33 Date:1JlM. 51, cJ 603 , Date:y{)U 31_ lJ:,{J5 LV" ~~. -. ) C{. \1 ?-1_ . .,/ ~ \: .'Z;;" . ~ r-:' .:=-. -~ V I+etw ~ 1o'S L~<@ / '-0 ~ ..~ ~ <CJ:. G\ ,/'" - ,,-" d) @j ~ 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 ~. 'M a.r .. 1 9 03 1 2 : 59 P . "~. ~ 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 ~ Allstate. You're in good hands. R2853-1 ~j.'" > i' ; :.. .---. ~ . - 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. s-/t:3/0:b ~.t.. ~ S:\PERMITS\ENCROACH\TRAFFIC\6601 Hornitos Court. doc f" ...... t ..~. ~.. I' ~ . 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. . . ,. ,'" <to. " ,~~ " It :: . S:\PERMITS\ENCROACH\INSURANC\6601 Hornitos Court.doc