HomeMy WebLinkAbout01405
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APPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.EN-01405
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:
RICHARDSON SAMMYE
POBOX 10508
CA
BAKERSFIELD
93389
Phone No.632-2820
2. Nature or decription of the encroachment for which this application is made:
4' HIGH WROUGHT IRON FENCE
3. Location of proposed encroachment is
5311 GLACIER SPRINGS DR
5311 GLACIER SPRINGS DR
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:
STATE FUND HOMEOWNER 300,000
Date:03/24/l999
of the City Engineer, pursuant to Bakersfie d
Y~'.........~...........
( "signature of Applicant (Owner/Agent)
unicipal Code Chapter 12.20 to revoke
Applicant acknowledges the right
the permit at any time.
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:03/24/1999
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APPLICATION FOR ENCROACHMENT PERMIT
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TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
'.
3. Location oft~~ proposed encroachment:
4. Periodoftimefor~htheQ1croachmentistobemaintained:< ~ ~ N~ ~,~ ~D~ ~
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Applicant agrees that if this application is granted, applicant sha~nify, defend and hold hannless City, i
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,oi-judidal 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 granted, or .
upon the revocation thereof by the City en~ineer. applicant will at his own cosdtnd expense remove the same
from the Dublic 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 t insurance required. The type(s) and amount(s) of insurance coverage is:
. ~ . i \'2-C90' '
Applicant acknowledges the right of the City Engineer. pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the penn;tatany tim . G:Sl. I~l .~ Q: ~
Date:, -I ~ ~
Signature 'of Applicant (Owner or Representative)
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PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OFTHE FACTS STATED IN
THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID
ENCROACHMENT (1) WILL(NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE
I 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' 1\~i\.q1
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Signature o?City Engineer . ' ..'
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~HER'FIELD ~ 93389-0~08
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Fire policy Status
163 P01
MARCH 24, 1.999
B Ph. (661) 632-2820
GBNL Policy: 90-NH-9492-2 G Yr issd; 1998
Xref :
Location: 5311 GLACIER SPRINGS
BAKERSFIELD CA
Term:
CONT
Premium:
423.00
, Amount due:
Date due:
Bill to:
SFPP
SFPP
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o SFPP acct:0361-6646-12
Pre-v prem:
~plied: 500:ALL PER
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Constr: FRAME
93313-5171
Renew date: NOV-01-99
Forms
FP-6101
FE-6477
FE-6451
FE-6504.1
FE-620S
and Endorsements
BUILDERS RISK
POLICY. END
TREE DEBRS RBM
POLICY END
AMENDATORY END
~BINDER-RECEIPT
~TATE FARM FIRE AND CASUAl-TY COMPANY
o STATE FARM GENERAL INSURANCE COMPANY
o STATE FARM LLOYDS
v
o HOMEOWNERS
o APARTMENT
)irRENT AL DWELLING
o CONDOMINIUM ASSOC.
o BUSINESS
o CHURCH
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Until a poficy is issued, State Farm will provide coverage to:
NAME ~~ N_
Please print R 1 C H A R.
Mailing Un" eroJ/Of NUI1'>bol'
address P.O.
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for. term not exoeeding ninety (90)' d .Ll .
against accidental direct phys,'c II ~ys from 12:01 a.m. (Standard Time) of 2- 4- r '\. . ~ ~ . Q C
. a oss covera n . . " 1 19 -L....L
Insurance limits shown below: ge a d/or comprehensive hablllty coverage as provided by the PolicY/Co+rag~ Form an;:!
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Pollc:y/Coverage Form
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Property or
Interests Covered
Lo~ation and DeaClription of
Property or Interests
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Premium
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o Personal Uabllity
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Deductibles:
Name and AddresS of
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Total premium l /J.2..& .
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Amount paid '$ ~ :
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St.te Farm wi' pro_ coven>ge to the applicant on lhe propertY or intereSts de&Crlbed for up to ninetY (9jl)" days from .Ila
issuance of this Binder. This Binder is issl,led subject to all the declarations, terms, and conditions in the policy!applied for. This
Binder will be void when the policy is issued. If a loss occurs before this Binder expires. the premium due State Form will be the full
"""'~ prernl.m for the .moun. inSured. i ·
, ooY""'9" In tt>is Binder replaces CO'lerage in other poIides teminatinQ at 12 Noon (Standard Tme) on lhe ""plion date of it;s
Binder, this Binder will be effective at '2 Noon (Standard Time) instead of a.t 12:01 a.m. Standard Time. .
This Binder is not valid unless signed by a State Farm agent.
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'EXCI'PTIONS, IlInders Issued in the .tat.. of ",...achlJSe\\., "",,"sylvania, and Rhode "land are fo< a'elm noItxceeding thirty (30)
days from the effective date. '
Binders issued in the states of ConnectiCUt. Nebraska. NeW Jersey, and Virginia are for a term !not exe~ding !sixty
(60) days from the effective date.
""ENT' It is _ important tha' you ma' a copy of the B_r end . """",,ated applicatloo lo.thfs eompany on t"~ 1Ss"". ,
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TO:
FROM:
DATE:
SUBJECT:
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
Scott Manzer, Risk Manager
Marian P. Shaw, Civil Engineer IV, Subdivisions
March 25, 1999
Encroachment Permit Application for 5311 Glacier Springs Dr.
Sammye Richardson
4' high wrought iron fence along front and side yard
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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S:\PERMITSIENCROACHIINSURANC\53 I I Glacier Springs. wpd
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MRR 24, '99 14:49
163 P01
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MARCH 24, 1999
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pp BO l05Q8~J
~HERFIELD ~ 93389-0~08
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Type: i Jt!NT; , L
'1O$erfge;i~fO
Ai- WE .tINn., [ .
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. .
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I .
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Fire policy Status
B Ph. (661) 632-2820
GENL Policy: 90-NH-9492-2 G Yr issd; 1998
Xref:
Location: 5311 GLACIER SPRINGS
BAKERSFIELD CA
93313-5171
Term:
CaNT
Renew date: NOV-Ol-99
DWELL 3
tion
1.25000
Premium:
423.00
, Amount due:
Date due:
Bill to:
SFPP
SFPP
SFPP
Prev prem:
o
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~rtv riS~:.. 0
oe~u9tibl~~' ~.plied:
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SFPP acct:0361-6646-12
500;ALL PER
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$e~scfges:
Yer:tr b~~:lt:: BR
. 1 Zone;: 40
PrQt class'; 3
. ~~mild.es:: OJ.
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(:onstr: FRAME
Forms
FP-6101
FE-6477
FE-6451
FE-6504.1
FE-620S
and Endorsements
BUILDERS RISK
POLICY END
TREE DEBRS RBM
POLICY END
AMENDATORY END
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- ~l~t~'~DER-RECEIPT
~TATE FARM FIRE AND CASUA~TY COMPANY
u STATE FARM GENERAL INSURANCE COMPANY
o STATE FARM LLOYDS
v
o HOMEOWNERS
o APARTMENT
WENT AL DWELLING
o CONDOMINIUM ASSOC.
o BUSINESS
o CHURCH
o OTHER
Until a r .,
po Icy IS Issued, State Farm will provide coverage to:
NAME ~.l_
Please print R.. 1 C 1-\ A. R.
. Mailing LJn~ ..-. Nu~
address P, O.
St$lt
F~1Il NIl...
1.Md" N8l'oO fJ/ lI\~ieI
Co,ltIpicant'. Homo (~ ~J
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:'~~"':a~~~,:,g ;~::'~I:'d':e~ 1~:~1 am. (Standar,<fTi~).oI .2. 41"- . fna.uve., ,19'2...1
insurance limits shown below: gad or comprehenswe liability coverage as provided by the PolicY/Co~rage Form and
S'o~
211' c..
9338'"
CA
o Personal liability
~dical Payments
o
o
$ 300} ~
$
$
Property or
Interests Co~ered
Location and Des~ption of
Property or Interests
/I ~AG IeR-. S PR. ,~
A{~ t:- IE' '-!) C-A- q 331
PremIum
Liabili
JS(<<Jsiness Uability
NOTE: Thv enNJaI ~8te and
Pffldt)d.,c""'llolod ~..(iOO<l
ll!l~oIe ~mlt. .... <quo! tI\ 2
tim8' thg oocurrence limi-t.
Ea":Il 0I>:Lr"",,"
E3ah~
Deductibles:
Name and AddresS of
Mortgagee/Other Interest
sd\)
. .
Total Premium ~ /J.2.~ .
......_.__...........,.............----- f:.'::::1:..........-...--.-......
. ~OA/C..
Amount paid
~:
4=
State Farm will provide coverage to the applicant on the property or Interests described for up to ninety (9P>. days from the
Issuance of this Binder. This Binder is issl,Jed subject to all the declarations. terms. and conditions in the policy/applied for. This
Binder will be void when the policy is issued. If a loss occurs before this Binder expires. the premium due State F'rtTl will be the full
an....al premium fot the amount .....-..:1. ; ·
If coverage In this Binder replaces co....erage in other policies terminating at 12 Noon (Standard Time) on the incjeption date of this
Binder, this Binder will be effective at 12 Noon (Standard Time) instead of at 12:01 a.m. Standard Time. .
This Binder is not valid unless signed by a State Farm agent.
Oated at e,~
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LOan
Number
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.EXCEPTIONS: Binders issued in the states of Massachusetts. Pennsylvania. and Rhode Island are for a term not .xceeding thirty (30)
days from the effective date. ! :
Binders issued in the states of Connecticut. Nebraska, NeW Jersey. and VirQInia are for a term ~ot ex~ing !sixty
(60) days from the effective date.
AGENT, It i. vety ;mpottant \hSl y.... ma' . "'I>Y of the Binde, and a conIplated applie.."" to this Company on * 'day ISsued.
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B A K E R 5 F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
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TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions.
DATE:
March 25, 1999
SUBJECT:
Encroachment Permit Application at 5311 Glacier Springs Dr.
Sammye Richardson
4' high wrought iron fence along front and side yard.
Engineering and T.raffic staff have reviewed the attached encroachment permit to allow the installation of
a 4' high wrought iron fence on the front and side yards. The site is located at 5311 Glacier Springs Dr.
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:IPERMITSIENCROACHI53 I I Glacier Springs.wpd
xc: Applicant
Reading File
Project File
Construction Inspection
Marian P. Shaw
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B A K E R 5 F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ryan Starbuck, Civil Engineer III
FROM:
Marian P. Shaw, Civil Engineer VI, Subdivisions
DATE:
March 25, 1999
SUBJECT:
Encroachment Permit Application for 5311 Glacier Springs Dr.
Sammye Richardson
4' high wrought iron fence along and side yard
Please review the attached encroachment permit and return to me at your earliest convenience.
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