HomeMy WebLinkAbout01503
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'APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01503
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.
1. Full name of applicant and complete address including phone number:
MACKESSY JOHN / LISA
2700 22ND ST
93301 Phone No.
2. Nature or decription of the encroachment for which this application is made:
MOVING FENCE OUT INTO ALLEY
3. Location of proposed encroachment is :
2700 22ND ST BAK
2700 22ND ST
4. Period of time for which the encroachment is to be maintained:
Applicant agrees that if this application is granted, applicant will idemnify, 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, 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 mantain 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 insuance evidencing sufficient coverage for bodily injury or property damage liability of both and required
endorsements evidencing the insurance required.
The type(s) and amount(s) of insurance coverage is:
ACCORD INS
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time.
Date:08129/2001
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:08129/2001
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Signatotfre of City 'Engineer
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BAKERSFIEL
PUBLIC WORKS DEPARTMENT
MEMORANDUM
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TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
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SUBJECT:
September 19,2001
Encroachment Permit Application for Installation of 6' high woodfence in alley.
John & Lisa Mackessy
2700 22"d Street
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of a
6' high wood fence in alley. The site is located at 2700 22nd 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 their review, staff recommends approval of the permit.
S:\PERMITS\ENCROACHJ;o~2nd Streel.wpd
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CITY OF BAKERSFIELD PERMIT APPLICA nON
PLEASE PRINT OR TYPE APPLICATION
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Project Info: 'N'0 \J cV\. &..->t O~r +--"etA..ce--- c:,n <!. if 0 A"(J./,. (A-< ~~ ~
. ~escription of W or~ to be Perfoqned
Project Location: ~.,. D6 "?ik.'<t~ ~,-( _
Address Suite Number
Tract Number Lot Number
Applicant is (Please Circle One)? Owner Contractor Arch / Eng Other
Owner: " ~ ~~
Last Name
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First Name
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Suite Number
Cf??D \
Zip
Phone Number
Fax Number
Contractor :
Last Name
(c:;;y"~Jeil)"~ 1,Q~frst~ame
Address
Suite Number
City
Zip
Phone Number
Fax Number
Contractors License Number
License Expiration Date
Arch / Eng :
Last Name
First Name
Address
Suite Number
City
Zip
Phone Number
Fax Number
i.
Architect / Engineer License Number License Expiration Date
OFFICE USE ONLY
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Ffermit Number
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THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE;'ANb"c6NiJEY~fALL THE ...
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
PRODUCER : "~?'~~~" ,~t):., ,(,~.~.~!.~. :3.~.~ ~~, ~.~""',.,"',..,.,"'" ". ,.""" COMPANY
Walter Mortensen Insurance, Inc American Manufacturers Mutual
License #90267
4701 Stockdale Hwy
Bakersfield, CA 93309
CODE:
~3~r8~ERID#: 00013304
'iNSURED ,. ............"..,.. ........". ,...'." .......... ..... ....., ......... '. ,..... ........... ... ...... ,................... .............,. ''LOAN' N'(jM'BER" ,.,.'.,.,."., ...,., ,....i..poiic'Y 'NUMBER" " "... ....,........ ......, .............., .., ................"..,
SUB CODE:
JOHN P MACKESSY LESA L MACKESSY
2700 22ND ST
BAKERSFIELD, CA 93301
RQ048118H
........E.FFECTlVEOATE..... ....:...... ..E}(."..fR'Ai'ioN.DAi'E...... ..:.." ......,.....,." ........,...,. .., ........,'. ... ........
: : CONTINUED UNTIL
05/14/2001 05/14/2002 : TERMINATED IF CHECKED
''tHis 'REPLAcEs' ii'tifoR' EVio'EiijcE'oATEo:'" ,.., '.", '...", ,...:.:....., ,:. ....., ,.....,..' '.." ,. ..' ....... ,.." ,.....,...
1 2700 22ND ST BAKERSFIELD, CA 93301
::E9~tt!m!tt::ltg~m&nRNj:::j:=:::::j%%:::j:j:::j:j:j:::::::j::jj:::j:::j%:t::::::j:::j:::::::j:j:::::j=::::::::::::j:::::j:::::::j:::::::::::::::j:::j::jj:j:::::::j:::j:::::j:::j:j:j:j:::j:j:::j:j::::j:j:j:j::::j::j:j:j:j:j=j:::::j:j:::j::%%:::j::::::;:::%:::tj:::::::jjjj:::::::::I::%:j::%:j;;:j:j:::::::::j:::::::::::j:::j:j:j:i:j:j:i:j:i:i:jjj:::j:j:::j:j:j::::::=:;::j::::::::::%:j:j:j:j:j::jj:j:tj:j%:j:::j::=::::=:::::t::::::::j:::::j:j::j::j:::j:j:j:j:::j::
COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE
1
1
1
1
1
1
1
Dwelling
Other structures
Personal property
Loss of use
Full value replacement cost VS1376 08/1996
Liability
Medical
288,000
28,800
201,600
57,600
500
300,000
5,000
::::=::::::::::::::::;:::::::=::;::::;;:::::NP:~w~~mt~!M~IMf!n~~!~!nfn:r:j:::::j;i:;;j;j;j;jr:j:jr:j:::j=:::;j:;:;:j:;:;;j;j:j;jr;));:)jr:;:j:::::::::j:j:)j=jr;jrr;j;))))))))j:j=j:)::::==:::;r:::::::;:j:::::;:j;j:j;)f;:jr:j::;f:r:jrrr:j;fj:j:j:::jr=j=::::j:jr:fj:jr;j:jrr==:j===;:j;::j:j:j:j:;:j:jr:=:j::;j;j;:;fj:j;m:j:ff;:fjrr;;:jr:;;;:::::::jrr::::
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW DAYS
WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.
NAME AND ADDRESS MORTGAGEE 'ADDITIONAL INSURED
N/A
LOSS PAYEE
LOAN #
AUTHORIZED REPRESENTATIVE
Gina HenryjGH
j:!BRB:Ir:;~W'il,j:;:j::;::::j:;:;:j:jjj;:;::;;j:j:j:::::j:::j:;:;;;:j;:;j:;:jjj:j:;;;:j:::;:j:j:;j;:;:jij;:;:;:;:::=;;::;j:;j:::j;j;j;::;:::j:::t;:::;:::;i;::::::jjj:;:::::j;:::;::;:::j:::::;:::::j:;::::::::;:::j:::::::;:;::::j:::::j:::j::j:::::::=:::::::::;:j::j:::j::::j:::::j=:::::;::::::::;::=;;::;:j::j:::=::;j:::;:::j:::::::::::j:::;:::::::::::::::;::::j:::::::::j:::::::j:jjj::::=:::::::::I=IIIW:t"9~UM1:R~IR!m]!Rre:J!!~:;:
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APPLICATION FOR ENCROACHMENT PERMIT
~O THE CITY ENGL~EER OF THE CITY OF BAKERSFIELD. CALIFORNIA:
lpursuant to the provisions of Chapter 12.20 of the Bakerstield 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.
( ~".).. 30 o~
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~ature or, escription of the encroachment for which this application is made:
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... Period of time for which the encroachment is to 'be maintained:
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Applicant agrees [hat if this application is granted. applicant shall indemnify. defend and hold hannless 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. quasi-judical.or judicial tribunals of any kind
whatsoever. arising out ot: connected with. or caused by applicant's placemcnL erection. use (by applicant or any
other person or entity) or maintenance of said encroachment. The applicant funher agrees to maintain the aforesaid
encroachment during the life of said encroachment or until such time that this permit is revoked.
Applicant funner agrees that upon the expiration of the permit for which this application is made. if granted. or
upon the revocation thereof bv the City en2ineer. annlicant will at his own cost and exnense remove the same
from the oublic oronertV or right of way where the same is located. and restore said public propcny 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.
Aoplicant timher agrees to obtain and keep all liability insurance required by the City Engineer in full force and
etfect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a Cenificate
of Insurance evidencing sufficent coverage for bodily injury or propeny damage liability or both and required
endorsements evidencing the insurance required. The typelS) and amount(s) of insurance coverage is:
Applicant acknowledges the right of the City Engineer. pursuant to Bakerstield Municipal Code Chapter 12.20 to
revoke the permit at any time.
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Sio at e f AoplicantlOwner or Representative)
-
Date:
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OFTHE FACTS STATED IN
THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID
ENCROACHMENT (I) WILL(NOT) SUBSTANTIALLY INTERFERE WITH THE USE OFTHE
PUBLIC PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOn
CONSTITL'TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE: SAID APPLICATION
IS THEREFORE (GRANTED) (DENIED). SAID PERMIT SHALL EXPIRE
Date:
Signature of City Engineer
CITY OF BAKERSFIELD
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DEPARTMENT OF PUBLIC WORKS
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TO WHOM IT ~lA Y CONCERN:
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I.. W~: the undersigned. have no obje<:tion 10 the constrUCtion?f a fence.aHebiBtI-
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(Street) : (Owner's Name)
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(Address)
Phone: -:;"2 -z-- - ~ 00 S-
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Date: O-CL~. de- ,?od I
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TO:
FROM:
DATE:
SUBJECT:
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
Ryan Starbuck, Civil Engineer III
Marian P. Shaw, Civil Engineer VI, Subdivisions
September 4, 200 I
Encroachment Permit Application for 2700 22nd Street.
John & Lisa Mackessy
Woodfence in alley R/W
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\2700 22nd SLwpd
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TO:
FROM:
DATE:
SUBJECT:
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B A K E R 5 F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
Pat Flaherty, Risk Manager pr
Marian P. Shaw, Civil Engineer IV, Subdivisions
September 4, 2001
Encroachment Permit Application for 2700 22"d Street.
John & Lisa Mackessy
Woodfence in alley R/W
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
S:IPERMITSIENCROACHIINSURANCI2700 22nd St.wpd
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