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HomeMy WebLinkAbout01405 -:; 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 ~'CrM APPLICATION FOR ENCROACHMENT PERMIT .ot.5Lt9-~... oc1? . --R::r ( o. ~ '~~";"'.(lJ1IH2, .t; ; i j ~ j TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA: '. 3. Location oft~~ proposed encroachment: 4. Periodoftimefor~htheQ1croachmentistobemaintained:< ~ ~ N~ ~,~ ~D~ ~ '9g,o~ .-8\:9:~\\'^-, ~ ~~"', c. <r- ~'\. ~\~ 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. 'l , ) t -'II 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) 6 3 ;) . "2--.g "'2-'CJ 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 ~7~ Signature o?City Engineer . ' ..' \ ~! "1 ' .Ji ! .~ :',1'; ? 1. No. , t~ ~1~ ,GJ i I LB>~O~ '- . ~~ ~ ; -::\ -is ~OG ( \ \ .' ~Q~ ~~a~ ~~3 .~ ry '\ ,,,~,-~.-,-,,,--'-'- ~> MAR 24 '99 14: 49 ': :. ::, ; ! ! . ;;: :: i ; l : ,~ ". . ; . i , i! I'. ; I R;r~. . SON,. Sill!MMYE PO BO 10508~J ~HER'FIELD ~ 93389-0~08 l I Type: i. 1iE~ qoyerfse .,info ~- fl>WE ,LINt}: [ I " . , :' i r . ; I L DWELL 3 tioD 125000 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 SFPP o o SFPP acct:0361-6646-12 Pre-v prem: ~plied: 500:ALL PER : i , . , . /' , i, , . I , 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 o OTHER 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. Sl~ Ftrld Nart1lil ~1o~tIIl1'l~ieJ Co,Iq)plcllnt'. NIlme (~ OllIllicabIo, f\I\, CH- A EW Oily '" To".. f6 ..s A:.M. M'I E . Number and Straal : County : I<.. E /<.. N . 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;:! S'o~ 2:11' Ca:lo 9338'"" C-A Pollc:y/Coverage Form 9 $ 30q ~ $ $ Property or Interests Covered Lo~ation and DeaClription of Property or Interests II ~AG/~ S f'R.'~ ~~t=-fE'l-!) CA-<l3J,1 Premium Uabilit }i(eUsiness Liability NOTE: TI'm annual :I9l:1.-eQ.ete and PfQdv<;t<IOompolod Oper.(;oo. 8IIl~"" "mils Ole oqu.~ 10 2 . tima' tl>> CC30UrJente limit o Personal Uabllity ~dical Payments o o Ea/:h 0<aI".,,,, Ei1Ch 0et0T'r'81"tC"i1 Deductibles: Name and AddresS of Mortgagee/Other Interest sd"U T"oAiC Total premium l /J.2..& . .~.....~... ___....__. _.....----- r:.~_.... ~ .-- _..--- ......- Amount paid '$ ~ : ~ ~ 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. Dated at e,~ .~ LOan Number - :J-4-~dByof~ U ; ~-~~Wt, . , 19 9Cf tnls Agent i !" '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"". , . . . '10d 991 ! ~/~ !'f$Ill:lonl ![IoaotolY 80:91 66. t7c C1tlW ~ .s<0 "'~~ \\\\ \ \\\\\ ~~ ~o \5'\ ' ~~ I ~0>-S0-. ~ --" \ ..'-<, ,.I' " . 7 '" TO: FROM: DATE: SUBJECT: _~_n _ ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM Scott Manzer, Risk Manager Marian P. Shaw, Civil Engineer IV, Subdivisions March 25, 1999 Encroachment Permit Application for 5311 Glacier Springs Dr. Sammye Richardson 4' high wrought iron fence along front and side yard Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. oV .l,~ S:\PERMITSIENCROACHIINSURANC\53 I I Glacier Springs. wpd ~- ~/c--, l MRR 24, '99 14:49 163 P01 , . .::' j !:l, i. : t ; i ,.1. '" ., :, :' " MARCH 24, 1999 . i :! I ; I .ROC~' . SON,. S;JljMMYE pp BO l05Q8~J ~HERFIELD ~ 93389-0~08 l I Type: i Jt!NT; , L '1O$erfge;i~fO Ai- WE .tINn., [ . :. ! ':.! I' , .' . . . . . . I . ': I: 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 . i. ~rtv riS~:.. 0 oe~u9tibl~~' ~.plied: ': j .' . i t. [: SFPP acct:0361-6646-12 500;ALL PER r $e~scfges: Yer:tr b~~:lt:: BR . 1 Zone;: 40 PrQt class'; 3 . ~~mild.es:: OJ. I . ! : (:onstr: FRAME Forms FP-6101 FE-6477 FE-6451 FE-6504.1 FE-620S and Endorsements BUILDERS RISK POLICY END TREE DEBRS RBM POLICY END AMENDATORY END : i , . , . . i ': ' ~ , . , . , , i' '. j i l I I \ \ . . , . ~~ - ~l~t~'~DER-RECEIPT ~TATE FARM FIRE AND CASUA~TY COMPANY u STATE FARM GENERAL INSURANCE COMPANY o STATE FARM LLOYDS v o HOMEOWNERS o APARTMENT WENT AL DWELLING o CONDOMINIUM ASSOC. o BUSINESS o CHURCH o OTHER Until a r ., po Icy IS Issued, State Farm will provide coverage to: NAME ~.l_ Please print R.. 1 C 1-\ A. R. . Mailing LJn~ ..-. Nu~ address P, O. St$lt F~1Il NIl... 1.Md" N8l'oO fJ/ lI\~ieI Co,ltIpicant'. Homo (~ ~J N\(CH-AE.W Clly '" T""", f6 6A:.M. M'I E . Numbor 8I1lI St_ : Counly ~ k..eR.N . :'~~"':a~~~,:,g ;~::'~I:'d':e~ 1~:~1 am. (Standar,<fTi~).oI .2. 41"- . fna.uve., ,19'2...1 insurance limits shown below: gad or comprehenswe liability coverage as provided by the PolicY/Co~rage Form and S'o~ 211' c.. 9338'" CA o Personal liability ~dical Payments o o $ 300} ~ $ $ Property or Interests Co~ered Location and Des~ption of Property or Interests /I ~AG IeR-. S PR. ,~ A{~ t:- IE' '-!) C-A- q 331 PremIum Liabili JS(<<Jsiness Uability NOTE: Thv enNJaI ~8te and Pffldt)d.,c""'llolod ~..(iOO<l ll!l~oIe ~mlt. .... <quo! tI\ 2 tim8' thg oocurrence limi-t. Ea":Il 0I>:Lr"",," E3ah~ Deductibles: Name and AddresS of Mortgagee/Other Interest sd\) . . 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,~ .~ ~ LOan Number - :J-4-#-dayol:::::t:+ ~~""W/' . ,'99? ttlls Atent i \. .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. . . , TIA....l qqT ! ~/~ "'-llIonl !loa"'.rv l=liA :qr. f:.f=. ~ t:>? >-lHI.1 /- - . , . I. " / ~ , ~ . - B A K E R 5 F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM q)?;; /\. V ~\~. %M- 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 :W (0 dc;- ~ . -- 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. c;./(eC f:. E1J /tf" ro ~ ~ /;fC/6/AT or pe(Jc-'!.....:: 1_- /lrt,:1W6. SIrlc.7;ffl-/l - O. It:- . _ -- 1... - -"tf--b~" PfL{)lJ"f 7Jffl-f} 4-.70 ( f(L~f'-I1 'fLOLlU/Ue"7 ~O I CMA-~ ) @ V1Sl~/c...l(1 /4.lulJt-r LuJ)C"" -- ~ -:3/..5/11 ~ (JK:/ ~ 3IlS/'1 r S:IPERMITSIENCROACHITRAFFICI5311 Glacier Springs.wpd