HomeMy WebLinkAbout2833 AGATE STBAK~1Qs~ ENCROACHMENT PERMIT
CITY OF BAKERSFIELD AaPMPROVED
W PUBLIC WORKS DEPARTMENT
4W 1501 TRUXTUN AVE
06 y 11. BAKERSFIELD CA 93301
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 . . . . . 08-30000088 Date 12/12/08
Property Address . . . . . . 2833 AGATE ST
Application type description PW - ENCROACHMENT PERMIT
Owner
CAREY ELIZABETH REV TR
3044 KERCKHOFF AV
SAN PEDRO CA 90731
Contractor
OWNER
Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 868711
Permit Fee . . . . 208.00
Issue Date . . . . 12/12/08 Valuation . . . . 0
Qty Unit Charge Per Extension
1.00 208.0000 EA PW ENCROACHMENT 208.00
Special Notes and Comments
Build 4' fence behind sidewalk in front
and side yard.
Fee summary Charged Paid Credited Due
Permit Fee Total 208.00 208.00 .00 .00
Grand Total 208.00 208.00 .00 .00
Applicant acknowledges,;he right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit at any time.
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Signature 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) (DENIED). Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
B A K E R S E I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: September 10, 2009
SUBJECT: Encroachment Permit Application for: 2833 Agate St.
Name of Applicant: Carey Elizabeth Rev Trust
Description of Encroachment: Build fence behind sidewalk. Fence height
not to exceed 4' in front & side yards.
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.
441
S:\PERMITS\ENCR0ACH\2009 approval letters\2833 Agate St..doc
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P, A Imo. E R S F I E L I
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 12, 2009
SUBJECT: Encroachment Permit Application for: 2833 Agate St.
Name of Applicant: Carey Elizabeth Rev Tr.
Description of Encroachment: Build fence behind sidewalk not to exceed
4' high.In front and side yards.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\2833 Agate St.doc
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
4
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 12, 2009
SUBJECT: Encroachment Permit Application for: 2833 Agate St.
Name of Applicant: Carey Elizabeth
Description of Encroachment: Build fence be,
4' high .In front
v Tr.
sidewalk not to exceed
side yards.
Please review the insurance certificate with the attached encroach
at your earliest convenience.
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CFC-06k;7
VILLA
permit and return to me
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S:\PERMITS\ENCROACH\INSURANC\2833 Agate St.doc
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Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326-3724
APPLICATION FOR ENCROACHMENT PERMIT
Permit Fee $208.00
To the City Engineer of the City of Bakersfield, California:
Glort-a
7~ z- OS 11
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:
2.
Nature or description of the encroachment for which
fence, concrete block wall, raised planter, etc...)
3. Location of proposed encroachment: (Example:
~_d33 /
this application is made: (Example: Wood or wrought iron
wa01( /ti froNfi Src~e ya
front yard at back of
4. Period of time for which the encroachment is to be maintained Indefinite~pr Other.
(Please Circle)
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 Citv enaineer, 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:\EncroachmentPermitslApplicationforEncroachment
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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.
t~ 4 G, By
: CL
(Street for proposed encroachmk t) (Owners Name)
Of Phone:
(Address of proposed encroachment)
SIGNED:
1.) Name:
Address,
2.) Name:
Address
3.) Name:
Address
4.) Name:
Address
5.) Name:
Address
6.) Name:
Address
D
Date: it
Date: f - -41 - '
Date:
Date:
ra
Date:
c, c"
State Farm General Insurance Company
900 Old River Rd
Bakersfield, CA 93311-6000
AT2 K-12- 1883-F784 R
000079
CAREY, ELIZABETH
3044 S KERCKHOFF AVE
SAN PEDRO CA 90731-6741
Location: 2833 AGATE ST
BAKERSFIELD CA
93304-5305
Mortgagee: WELLS FARGO BANK NA #708
ITS SUCCESSORS AND/OR ASSIGNS
Loan No: 0140720236
Forms, Options, and Endorsements
Special Form 3
FP-8103.3
Amendatory Endorsement
FE-8205
Debris Removal Endorsement
FE-8445
Policy Endorsement
FE-8315.2
Amendatory Collapse
FE-8700
Bldg Ordinance or Law Covg 25%
FE-7571
Extra Replacement Cost Cov
FE-8702
Lenders Loss Payable
438-BFU. NS
Registered Domestic Partnrship
FE-5383
RENEWAL CERI
POLICY :NUMBER
Rental Dwelling Pol -
NOV 12 2008 to NC
DATE DUE
TE
12 2009
NOV 12 2008 $567.0
Coverages and Limits
Section I
A Dwelling $128,000
Dwelling Extension 12,800
B Personal Property 6,400
C Loss of Rents Actual Loss
Deductibles - Section I
Basic 1,000
Section 11
L Business Liab (per occurrence) $300, 000
(annual aggregate) 600, 000
M Medical Payments to Others 1,000
(each person)
Annual Premium $567.00
Amount Due $567.00
Inflation Cc
~.A61rVR1Y1N Lrwr rictAVin C.I. uo 1 V rnvviur- I r it: rVLLVri1r4U NV I IGC: Vur
00
purchased Earthquake Coverage.
0
This policy includes Building Code Upgrade Coverage of $32,000.
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0216 201 1 Agent MIKE BOYER
E 2N,1 Telephone (661) 588-1140
F
Index: 221.7
indicate that you have not
If you have moved, please contact your agent.
See reverse side for important information.
REP Prepared SEP 16 2008
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