HomeMy WebLinkAbout13001 MONARCH PALM AVE1'~C FOR ENCROACHMENT PERMIT Appopygo
d - CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
-y it BAKERSFIELD CA 93301
~LIF0 R~1 (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 . . . . . 05-30000099 Date 10/26/05
Property Address . . . . . . 13001 MONARCH PALM AVE
ATN (11 Digits): 015-010-11-00-3
Application type description PW - ENCROACHMENT PERMIT
Owner/! Y'_R~ --6-
13001 MONARCH PALM AV
BAKERSFIELD CA 93314
Contractor
OWNER/BUILDER
BAKERSFIELD CA 93301
clafi 331-397?
Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 441956
Permit Fee . . . . 150.00
Issue Date . . . . 10/26/05 Valuation . . . . 0
Qty Unit Charge Per Extension
1.00 150.0000 EA PW ENCROACHMENT 150.00
Fee summary Charged Paid Credited Due
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .00 .00
Applicant acwledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit att n
C
Si ature of Applicant (Owner/Agent) 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE GRANTED) ( MM Said permit shall expire on date stated above.
Signature of C' Engineer
Additional Terms on the Back
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director v05~
FROM: Marian P. Shaw; Civil Engineer IV, Subdivisions
DATE: December 29, 2005
SUBJECT: Encroachment Permit Application for 13001 Monarch Palms Ave..
Name of Applicant Mitchell, Patrick
Description of encroachment. 3.5' wrought iron fence behind sidewalk, 6'
Wood fence along side of house on .
Majesty Palm
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of a 3.5' wrought iron fence behind sidewalk, 6' wood fence along side of house on
Majesty Palm. The site is located at 13001 Monarch Palms Avenue.
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.
QAPERMIMENCROACH\_Approval memo.doc
Ds - 99'
L A K: E R S F I E E D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: November 28, 2005
SUBJECT: Encroachment Permit Application for 13001 Monarch Palms Ave.
Name of Applicant Mellon Patrick & Margaret A
Description of encroachment 3.5' wrought iron fence behind sidewalk 6'
wood fence along side of house on Majesty Palm
Please review the attached encroachment permit and return to me at your earliest convenience.
Wr•
S:\PERMITS\ENCROACH\TRAFFIC\13001 Monarch Palms.doc
B I E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: November 23, 2005
SUBJECT: Encroachment Permit Application for 13001 Monarch Palm Ave.
Name of Applicant Mellon Patrick & Margaret A
Description of encroachment. 3.5 wrought iron fence behind sidewalk- 6'
wood fence along side of house along side of house
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\ Insurance memo.doc
;e76 i~~
APPLICATION FOR ENCROACHMENT PERMIT ~c )
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 appplies 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:
PAAtck Mrcc,(A-~&tk- ilzool NowWO- fp'w ~wE Cpl __F~9n
2. Nature or description of the encroachment for which this application is made:
3. Location of the proposed encroachment: 1_i tLi
4. Period of time for which the encroachment is to be maintained:
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 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
rLo erty 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 sufficient 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 toBDersfield Municip Code Chapter 12.20 to
revoke the permit at any time.
Date:
Sign!dture o 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 (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:
Signature o City Engineer
No.
CITY OF, BA►KERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO W 0M IT MAY:C®NCERN:
We the undersigned , have no objection to the construction of a fence beside he
sidewalk within the public right of way.
/216NO By: !341
(Stre4t for puposed encroachment) ' (Owners Name)
of I%Awee 4,44A~, Al"b- Phone:
(Address of purposed encroachment }
SIGNED: ' bMv, t Name: ~I U tlCItP"J Date: I -
Address:
Name:'
Address:
3). Name:
Add,,ess:
4.) Name:
5) Name:
•a
Address:
Date:
Date:
Date: 2---L-d5-
Date: 2' . E ,l
Date:
I Address: 13,M -
Hauseh4ld I Insured I Dwelling I ReCoflstruedon Cast 1 Coverage
13QO1 MONARCH.pP4,L1. 1 41414 PINEWOOD LAKE err
13001 MONARCH PALM, BAKERSFIELD, CA 93314 Policy Plumber. 927186484
Panic p Typo,. PROTECTOR PLUS m C piseaV-. FIRE INSURANCE EXCHANGE
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tUt[iN 365600 ; $1,K17.5S ,qlt Perils:lUt}q Theft wind and Mall;
Estimated
ReConStructlon Cost:
$3650001
SEP STRUCTURES Included
PEPSOWAL PROP 293y50_i Included
LOSS OF USE 18g50t5 ; Included
PeRS LIABILITY 300099 $20.00
GUEST MEDICAL 19Q0 ;L~:. included
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Roof ACV No $0.00 s^_17i3T[iQTS i;Er t_ n~'
77 GSA'
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SLOG ORDINANCE 10 $0.00' ADDL PREMISES $p.d0
LOSS ASSESSM 0.00 WATERCRAFT $0.00 E•110- wa=
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