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
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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
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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
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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 °
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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
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