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HomeMy WebLinkAbout613 MARYLHURST ST'1ayC~ORAT~ ENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE J u' ✓'"RY A BAKERSFIELD CA 93301 9~IF0 (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 on public property or right of way as therein defined. Application Number . . . . . 08-30000075 Date 9/18/08 Property Address . . . . . . 613 MARYLHURST ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor - - DAVIS JEFFREY A OWNER 613 MARYHURST ST BAKERSFIELD CA 93314 809-6424 Permit . . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 842724 Permit Fee . . . . 208.00 Issue Date . . . . 9/05/08 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments Build 6' vinyl fence on side yard of Frenchglen Ave. Fee summary Charged Paid Credited - Due - - Permit Fee Total 208.0.0 208.00 .00 .00 Grand Total 208.00 208.00 .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. Si 4 t of Yplicant (Owner/Agent) )Urpm -1) 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 (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) CO UTE 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 Additional Terms on the Back S A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: October 1, 2008 SUBJECT: Encroachment Permit Application for: 613 Marylhurst St Name of Applicant. Davis Jeffery A Descriptiori of Encroachment. Build 6' vinyl fence on side yard of Frenchglen Ave. From back property line 30' towards the front. - . Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build 6' vinyl fence along side of property. 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. SAPERMITS\ENCROACK613 Marylhurst St.doc i S A K E R S F I E L 1D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: September 12, 2008 I, SUBJECT: Encroachment Permit Application for: 613 Marylhurst St Name of Applicant. Davis Jeffery A. i Description of Encroachment. Build 6' vinyl fence on side yard of Frenchglen Ave. Please review the attached encroachment permit and return to me at your earliest convenience IG~2ao6 Az-r Wr "NSTguc rpo= Lf. APE opv-7069 MI- SAPERMITS\ENCROACHURAFFIC\613 Marylhurst StAoc D K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: September 9, 2008 SUBJECT: Encroachment Permit Application for: 613 Marylhurst St. Name of Applicant. Davis Jeffery A Description of Encroachment. Build 6' vinyl fence on side yard of Frenchglen Ave Please review the insurance certificate with the attached encroachment permit, and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\613 Marylhurst StAoc B A K E R S F Y E I. D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $200.00 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: ~K~Y Act -)--)A-,/IS ~(3 f" i`r`U2St s -r <7 3314 CoCS-J73-7 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) V` iJAC- ?WVC~ 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) ` A/kb LET `?LV V ear- St 4. Period of time for which the encroachment is to be maintained definite or Other. Pl-as~ ~~i cIe) Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the 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 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 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 restored 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 evidenc- ing 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 permit at any time. S:\Encroach mentPermits\App licatio nforEncroachment (fig- 30000075 o B x A K z- E ~ R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right-of-way. /v1A2VLNU2S ( 'SF- By: C---F D-AyIS (Street for purposed encroachment) (Owners Name) Of F-zG1MC -(6LC^1 AVC- Phone: cp S - l -7 3- (Address of purposed encroachment) SIGNED: 1.) Name: R®N.gLos~ ~~6ai~ G'L Address: 133D,- kIVM LE/I AVM' 2.) Name: Address: \MA I2~t-A u25 i 3.) Name: Address: 4.) Name: Address: b.) Name: nd~l . t tor°ri^ Address: 616 6.) Name: ~ WETS Address: t Date: 6 - z q - ?Y Date: 11-3-Dg ° Date: Z,3 'O ? Date: l f Date: q / 3'v g Date: 5 66 t"1101 (330 t 330 1 _V 6 I c NEW BUSINESS 19-11 Balboa IN-RANCE GROUP Newport Insurance Company P.O. Box 25140 • Santa Ana, CA 92799-5140 HOMEOWNERS POLICY DECLARATIONS Mail To: 62 - 3691 JEFFREY A DAVIS 613 MARYLHURST ST BAKERSFIELD, CA 93314 Covered Property: 613 MARYLHURST ST BAKERSFIELD, CA 93314 Named Insured: JEFFREY A DAVIS 613 MARYLHURST ST BAKERSFIELD, CA 93314 Agent: 21 ST CENTURY INS SERVICES, INC SERVICED BY COUNTRYWIDE INS 994 FLOWER GLEN SIMI VALLEY, CA 93065 Agent Code: 614502 Customer Services provided by Countrywide Insurance Services on behalf of your Agent. For Customer Service, call Countrywide Insurance Services: (800) 894-0976. For Claims Call: (888) 768-2096 Policy Number Company Program THN 000552989 Newport Insurance Company Preferred Policy Period From: 06-27-08 To: 06-27-09 12:01 A.M. STANDARD TIME AT THE ADDRESS OF THE RESIDENCE PREMISES Coverages Section I Coverage A - Dwelling Coverage B - Other Structures Coverage C - Personal Property Coverage D - Loss of Use Section II Coverage E - Personal Liability (each occurrence) Coverage F - Medical Payments (each person) Limits of Liability Premium $161,000 $470.00 $16,100 $80,500 $32,200 $300,000 $15.00 $5,000 $13.00 INSURED COPY H605E-OOE1104 Page 1 of 2 DUPLICATE STK k 00 2214 Deductible All Peril Deductible (Section I) $500.00 Policy Forms and Endorsements Form Number Form Description Premium HO 00 03 04 91 HOMEOWNERS POLICY-SPECIAL FORM HO 04 96 04 91 NO SEC II FOR HOME DAY CARE H2153 R1099 POLICY JACKET H260E R1099 ADDITIONAL COVERAGES H452EOO E0502 MOLD AND FUNGI LIMITATION - SECTION I $5000 - SECTION II $25,000 INC H5 18E OOE0903 ACTUAL CASH VALUE H652E 04EO605 REG DOMESTIC PARTNERS - CA H730E 04RO606 SPECIAL PROVISIONS-CALIFORNIA 438 BFU NS LENDERS LOSS PAYABLE 4H262 E R1005 EXTENDED REPLACEMENT COST $5.00 4H261 E E1099 MORTGAGE PAYMENT PROTECTION $7.00 HO 90 7 82 WORKERS COMPENSATION HO 04 90 04 91 PERSONAL PROPERTY REPLACEMENT $85.00 NOTICES PROPERTY INSURANCE DISCLOSURE CA ORDINANCE OR LAW DISCLOSURE BILL OF RIGHTS Consumer Affairs-California Community Service Statement Privacy Notice The limit of liability for this structure (Coverage A) is based on an estimate of the cost to rebuild your home, including an approximate cost for labor and materials in your area, and specific information that you have provided about your home. Total Premium $595.00 Important Information Policy includes Coverage for Ordinance or Law POLICY DOES NOT INCLUDE FLOOD OR EARTHQUAKE COVERAGE Discounts\ Surcharges Applied Protective Device New Loan Discount Other Interest Mortgagee AMERICAHOMEKEY, INC ISAOA PO BOX 191708 DALLAS, TX 75219 Loan Number 8060084 H605E-OOE1104 INSURED COPY DUPLICATE Page 2 of 2 Issued Date: 08/26/2008 L~~ ~ o ~