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Home My WebLink About11920 CACTUS FLOWER AVE~ C RPORA ENCROACHMENT PERMIT d CITY OF BAKERSFIELDAPVn0FNP PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE f'`U"RY "L BAKERSFIELD CA 93301 11 9LIF OR (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 . . . . . 09-30000029 Date 7/10/09 Property Address . . . . . . 11920 CACTUS FLOWER AVE Application type description PW - ENCROACHMENT PERMIT Owner BOND EDWARD 11920 CACTUS FLOWER AV BAKERSFIELD CA 93311 Contractor OWNER Permit . . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 922781 Permit Fee . . . . 208.00 Issue Date . . . . 7/10/09 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments INSTALL 30" HIGH RETAINING WALL AROUND SIDE & PART OF FRONT YARD. CONTACT: EDWARD BOND, 487-6184. Fee summary Charged Paid Credited Due Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant ac a ledges e right of the City En eer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the pe ny ti e. l Cam' '~i G Signature o 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) (DENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM c ID V PUBLIC WORKS OEPARTMEf1iT TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions f DATE: . July 22, 2009 SUBJECT: Encroachment Permit Application for: 11920 Cactus Flower Ave. Name of Applicant: Edward Bond Description of Encroachment. Install 30" high retaining wall around side & part of front yard. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to install fence as described above. The applicant has provided proof of appropriate insurance coverage to Risk Management. Based on their review, staff recommends approval of the permit. SAPERMIMENCROACH\2009 approval letters\11920 cactus flower ave..doc 6k-- p w _ Imo. E R S F I E E n PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 13, 2009 ` SUBJECT: Encroachment Permit Application for:. 11920 Cactus Flower Ave. Name of Applicant: Edward Bond Description of Encroachment. Install 30" high retaining wall around Side & part of front yard. Please review the attached encroachment permit and return to me at your earliest convenience. 7~22~Z0~ rr I 0 lc : its v T94rflr e OrMTlaict 1 Ct ioT,ff ; A liv- fog:n ON b~- -me wxL L:r-fje p,d AG.1 e-c one T (SICK if r L !<,fE 7 t tYV61-6 AV W-. No tJE4~,47'11)t' 14FAC7- o,U '0WE?- UIvolt GT~f~ ' SAPERMIMENCROACH\TRAFFIC\11920 Cactus FlowerAve..doc 13 K E R S F I E L ID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw,, Civil Engineer IV, Subdivisions DATE: July 13, 2009 SUBJECT: Encroachment Permit Application for: 11920 Cactus Flower Ave. Name of Applicant. Edward Bond Description of Encroachment: Install 30" high retaining wall around Side & part of front yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCR0ACH\INSURANC\11920 Cactus FlowerAve..doc ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326-3724 Fax: (661) 852-2012 LOCAT19N OF ENCROACH (Address required where i^.^.3 Ch If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT COMPLETE ADDRE S: b~~,°~~-'L PHONE: X CELL: 661 o Ve ~7 d 6 d PROJECT INFORMATION DESCRIPTION O ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): Cam'" 1;n>/,:", -As ~c ~r4 f ~ /'_-,Ekn PERIOD OF TIME FOR ENCROACHMENT: INDEFINATE or OTHER: (P ease CONTACT PERSON PHONE: G»9 F ~ 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 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 required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 Encroachment Permit Fee: $208.00 S:\PERMITS\ENCROACH\Encroachment Permit Req Form.DOC January 2009 CITE' OF BAKERSIFIELO DEPARTMENT OF PUBLIC WORKS 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. j ~ (Street forj encroachment) (Owners Name) tear) of II 9Za CaxL%d~ X33 i / Phone:Iq (Address of p sed encroachment ) SIGNED 1) Name: Address: 2) Name: .!address: 3) Name: Address: 4) Name: Address: Date:? I a QZ- r A 93 3 ~ I 3) Name,. Address: Date: r) Z5 jd c! - 2gt: `7.,-19- _ cam' Pate: / to 0 ®ate:-- 8) Name: Qate: Address: CERTIFICATE OF INSURANCE This certifies that ❑ STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ® STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Name of policyholder BOND, EDWARD AND BISHOP, LYNN Address of policyholder 11920 CACTUS FLOWER AVE BAKERSFIELD, CA 93311 Location of operations SAME AS ABOVE d Description of operations HOMEOWNERS INSURANCE The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ;Expiration Date (at beginning of policy period) Comprehensive BODILY INJURY AND - - - - Business-Liability---- PROPERTY DAMAGE - - - - This insurance includes: ❑ Products - Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $ ❑ Personal Injury ❑ Advertising Injury General Aggregate $ ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ ❑ Operations Aggregate POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Each Accident $ Disease Each Employee $ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ;Expiration Date (at beginning of policy period) 87-BH-L865-6 HOMEOWNERS 12/19/08 12/19/09 LIABILITY $300,000 THE CERTIFICATE OF IN SURANCE IS NOT A CONT RACT OF INSURANCE AND NEITH ER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however we fail to mail such notice, no obli ation or liabili will be imposed on State rm o its age t or pre to ives. natu of Auth a ntative AGENT 07/16/09 Title Date Agents Code Stamp AFO Code F784 $58-994 a.3 04-1999 Printed in U.S.A. t fir'-q.• I t HI it JIry4 t qAb pS SSSS RN, ~ t {}F~~~11~ eiTY r f z?k yh~ " ~~15 al OMMI y~I ~N yx r p~f r { 1~ , a k~ 4 3tilt J75 r, {t I O+fd,ll ~~q~ jet a '~r{I~ asF ='I~'"'{ <I set r t r^ ~YG4. tAll > 1 L 4 L ~~yY a ~L Vie': 'u.53"9 t ~jq,Ltz - ~ i z t SA,t 1 ~ Y ~qex } 31r ~i 3X3•' LINE tz- OF -:~y URB 1BAK~ ~ oRPORA-, ENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT - _ t 1501 TRUXTUN AVE C Y BAKERSFIELD CA 93301 ~ZI Og - - (66-1-)-326=3-724 -ZO CITY GINEER E THE CITY OF BAKERSFIELD CALIFORNIA: ]~Pur grant to the}pr visions-o ~~`hapter-12,-20-of-the-Bakersfield-~4-unicipal_Code, the_undersigned_applies-oma_p nmLto_place,-erect use and . Dnai tain an encro ent onblic property or right of way as therein defined. `tea i' Applicant"k wledges the right of the CiO- gineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the - pernut at ignature of Applicau caner/Agent) \ rit Name 2 I HE BYrC RTIFY THA HAVE MADE AN INVSGATI4N OF THE FACTS-TED IN THE FOREGOING APPLI =\,LY AND FIND HA } THE MAINTIEN E r ~OF SAID ENCROA NT (1) WILL (NOT) SUBS INTERFE P WHERE THE SAME IS T BE LOCATED AND (2) WILL (NOV CONSTITUTE A HAZAR TO PERS NS , AID PUBLIC PLACE; SA APPLICATI T REFOA GRANTED (DENIED). Sa' ermit shall eon a o~ ve: d _S.ignature_of- ! yin 1 Addltienal Terms-on-the--Back