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HomeMy WebLinkAbout01438 ... APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01438 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 defmed. 1. Full name of applicant and complete address including phone number: GlESICK DAVID W 5601 PATrON WAY CA 93308 BAKERSFIELD Phone No.661 391 9455 2. Nature or decription of the encroachment for which this application is made: MOVING EXISTING 6' HIGH FENCE ON SIDE YARD NEST TO SIDEWALK 3. Location of proposed encroachment is : 5601 PATrON WY BAK CORNER OF PATrON WY & HOPPER AVE 4. Period of time for which the encroachment is to be maintained: PERMANENT Applicant agrees that if this application is granted, applicant will idenmify, 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: CALIFORNIA WEST INSURANCE GROUP LIABILITY 300000 Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Date:02/1512000 \(' alY:u.. ~.).l(~......... Signature of Applicant (Owner/Agent) 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 APPLICA~ THEREFORE~ ~ Said permit shall expire Date:02/1512000 --- -----', 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 public property or right-of-way as therein defined. . . l. Full name of applicant and complete address including phone number: C4t//~ lit, U/e~/c/( -)6':?/ ~~A/ t</.4y /fi~~r'!P'"~,H~/d Ca. 1'r3/JY~ "?9/':'r~5r 2. Nature or descr~n of the encroachment for which this application is made: 6r;61 ;::-~)1( e a,4A/~ ~4~ . / 3. Location of the proposed encroachment: <)~ /e'f'1r t> 0/ a-.bOf/P ~GA.io;"j - 0/1 ,#o;i/er ke 4. Period of time for which the encroachment is to be maintained/~J::~A/Iz~h1- 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 ofthem. before administrative, quasi-judical,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 thereof by the City en\:ineer. 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 sufficent 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 the perm it at any time. Date: :2;~~D ~ Applicant (Owner or Representative) 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 (I) 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 EXPIR~ Date: Signature of City Engineer No. ,- 'i.' CITY OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: We, the undersigned. have no objection to the construction of a fence or behind the sidewalk on: ~:J,J'7-e// ,4/€ (Street) of .)hel ~~/1 d.hv / (Address) SIGNED: I) Name ff L__ Address "lJ.J'? ,j./duJ7c~ ,AIJii: , ) I ! 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"__ ...._~ ......._ .___",,-._ .....__________ . __. _---'..__ _ ___~_ k_ ___.---'....._ ...-,-. _ _. _ .__~ ___6.fJr~-e_ ., h___ ,. n _-IJ&Ltlf:Wr1Y u_ t - __n__ d_ __ _ .', __ ....__ __n~_" ._ _~____,____ -- __n__d___' (i . . ....-1' - no - ,-_..- --- ....-- I I' I \ \J\ ........ __ __ ....~. n 'l\ ,___ n_ ?:::'____' _~ __, . ,__, ~ ..-----~ "... k ~-'i - - --- ff lre,V\ (; .-'-----~----- 'f -. ~- --.." .. " -, .~ Eagle West Insurance Company :.J::"'",",,--- Page: Tl'is Wl'en 1 declaration is No 1 and is effective 09/15/1999. attached to the applicable forms, it completes the policy. POLICY NUMBER 10-EHO-2-923968 INSURED: Giesick, David W" & Loriann J. 5601 Patton Way Bakersfield CA 93308 Start of Term: 09/15/1999 End 9f Term: 09/15/2000 Renewed Annually AGENT: 15090 PRODUCER: csc Personal Express Ins. Services Inc 1321 Stine Road Ste. A Bakersfield CA 93309 Phone: 661-397-7377 Ne'l Declaration Legal Text: Husband and wife as joint tenants Emergency Claims: 1-800-682-9255 PROPERTY LOCATION: 5601 Patton Way Bakersfield CA 93308 Unit No: 1; Construction: Frame; Year Built: 1980; Territory: 54; Property Zip: 93308; Protection Class: 3 Hor: eowners Policy Cm1erage Form - FORM 3 Limit Premium A Dwelling B Other Structures C Unscheduled Personal Property D ~dditional Living Expense E Personal Liability F Medical Payments Each Person Each Accident _PrE!mium Surcharges/Credits $~iOO Deductible * P~8tective Devices Total Premium Credits Optional Coverages/Mandatory Fees DVielling Replacement Cost Contents Replacement Cost Cal-pak Coverage Wor:kers' Compensation (Mandatory) Total Annual Premium 151,000 15,100 105,700 30,200 300,000 1,000 25,000 Percent -12.0 % -15.0 % -27.0% 467.00 25.00 -56.00 -70,00 -126.00 10.00 47.00 23.00 5.00 451. 00 $ Fot"ms: 02-083, 02-304, 03-304, 438 BFU, EQUOTE, HO-290, PD-174, PD-175 An:mal Inflation Guard: 2.00% Tbis PolicCy contains a $500 deductible on Coverage A, B, and C. Tbis policy does not provide Earthquake Coverage. HO-3 Includes the forms: HO-350, HO-300, HO-216, HO-52, HO-325, HO-90, HO-322, HO-243 Tt.is dwelling does Me. rtgagee 1 not include Building Code Upgrade Coverage. North American Mortgage Company Its Successors and/or Assigns P.O. Box 395 Albion NY 14411-0395 LOAN NO: 5729897-790 I I t ~ ~ >if Authorized Signature -1M:Y j) IJJ ~ 09/15/1999 . - ...,/' ~~ ~1{t'7 ~ . BAKERSFIEL PUBLIC WORKS DEPARTMENT MEMORANDUM D TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 28, 2000 SUBJECT: Encroachment Permit Application for a 6'fence on side yard to behind sidewalk, David W Giesick 5601 Patton Way, Bakersfield CA 93308 Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of a 6' fence on side yard to behind sidewalk. The site is located at 5601 Patton Way, Bakersfield CA 93308. 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:\PERM ITS\ENCROACH\_ MEMO, WPD xc: Applicant Reading File Construction Inspection ~b~ "'pr> I I /).0 . "t.iH{ In t/::-/438 , . ~ . - B A K E R 5 F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Scott Manzer, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 17,2000 SUBJECT: Encroachment Permit Application for 5601 Patton Way, Bakersfield, 93308 David W Giesick Move existing 6'fence on side yard to behind existing sidewalk, Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. oK ~,~ '2/(11 trV S:\PERMITS\ENCROACH\INSURANC\5601 Patton Way,wpd ~. .~- ~ . - B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer VI, Subdivisions DATE: February 17,2000 SUBJECT: Encroachment Permit Application for 5601 Patton Way. Baker~'field. 93308 David W Giesick Move existing 6'fence on side yard to behind existing sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. &'/1 1/P D /J () ~ / C, H 7 {.. {IJ G f(LO t7 C- G-w1.' fiiltJ Pf:t'IJG-e tI1:f1G1U-r ;tlfJut.(}))V1" t7~P Mk. fL~6lU{(t6}4r;;p-c (4.",1#' ~#4'1 lfuOWl.-/ft/CJ) F1> fZ.. f>(lO IJ ( Y I/1lP a4 ~p S:\PERMITS\ENCROACH\TRAFFIC\5601 Patton Way,wpd