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HomeMy WebLinkAbout709 PARTRIDGE AVEENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE ✓Q"U"RY 11 BAKERSFIELD CA 93301 ALIFO(661) 326-3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: Pursuant to the provisions of Chapter 42.20 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 . . . . . 09-30000035 Date 10/02/09 Property Address . . . . . . 709 PARTRIDGE AVE Application type description PW - ENCROACHMENT PERMIT Owner PRICE ARLEEN J TRUST 709 PARTRIDGE AV BAKERSFIELD CA 93309 Contractor OWNER Permit . . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 948604 Permit Fee . . . . 208.00 Issue Date . . . . 10/02/09 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments INSTALL WROUGHT IRON FENCE BEHIND SIDEWALK. FENCE NOT TO EXCEED 4' IN HEIGHT. CONTACT: ELISEO, 330-4313 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 the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit y time. 6- C' Si true of A6 aln't (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 Cit¢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 FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: October 8, 2009 SUBJECT: Encroachment Permit Application for: 709 Partridge Ave. Name of Applicant: Arleen J. Price Trust Description of Encroachment. Install wrought iron fence behind sidewalk. Fence not to exceed 4' in height. 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. 1~ SAPERMITS\ENCROACH\2009 approval letters\709 Partridge Ave..doc 13 ! Imo. E R- S F I E I- ID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: October 5, 2009 SUBJECT: Encroachment Permit Application for: 709 Partridge Ave. Name of Applicant. Arleen J. Price Trust Description of Encroachment: Build wrought iron fence behind sidewalk, not over 4' high. Please review the attached insurance certificate and encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\709 Partridge Ave..doc B :E-: E R S F I E L ID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Civil Engineer II FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: October 5, 2009 SUBJECT: Encroachment Permit Application for: 709 Partridge Ave. Name of Applicant. Arleen J. Price Trust Description of Encroachment. Build wrought iron fence behind sidewalk, not over 4' high. Please review the attached encroachment permit and return to me at your earliest convenience. 0< ( 61 wog o~K) ~ S:\PERMITS\ENCROACH\TRAFFIC\709.partridge ave.doc • B A I< E R S F I E L ID 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: 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. Full name of applicant and complete address including phone number: D -AV 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...) 24 it y✓ZvCPf-r _eCP-/ X11 i 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) 4. Period of time for which the encroachment is to be maintain : Indefinite or Other. se ircle) 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:\EncroachmentPermits\ApplicationforEncroachment m B A, K 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. (Street for proposed encroachment) (Owners game) (Address of proposed encroachment) SIGNED: 1.) Name: Date Address: 2.) Name: ' Date,. I (J Address: 3,) Name: • ~1.7~2-' ' Date: 16- Address: 6 5 ; c~ . v 4.) Name: Dat : Address: 5.) Name: Dat Address: 6 I Name: Date: Address: Received Time Sep.24, 12:22PN1 State t=arm General Insurance Company A Stock Company with Home Offices in Bloomington, Illinois 900 Old River Rd , Ax§i" Bakersfield, CA 93311-6000 AT 1 K-12- 7308-F784 L F 001247 PRICE, ARLEEN 709 PARTRIDGE AVE BAKERSFIELD CA 93309-1332 Forms and Endorsements Personal Liability Umbrella FP-7950.2 Amendatory Endorsement FE-5835 Fuel Oil Exclusion FE-5837 rersonai uaoniry umoreiia roli APR 28 20Q9 to APR 28 2010 RENEWAL CERTIFICATE APR 28 2009 $201.00 COVERAGES AND LIMITS L Personal Liability $1,000,000 Self-Insured Retention None UNDERLYING EXPOSURES Our records show the following underlying information. This information was used in determining the rate of the policy. AUTOMOBILE EXPOSURES Automobile(s) 1 Automobile Operator(s) 1 OTHER LIABILITY EXPOSURES Personal Residential TAT f s+vs wR . s dil E FARM IN5llAANCE .o,....,. . r..-.. ~ _ SEPTEMBER.25, 2009 Fire Policy Status H Ph. (661)832-0950 PRICE, ARLEEN GENL Policy: 87-BY-4933-1 G Yr issd: 1994 709 PARTRIDGE AVE Xref: 87-X8-9723-6 H RAKERSFTF.LD CA 93309-1332 V63 3663-55 AO Type: PERS LIAB UMB Coveraqe information L-PEERS LTAR 1000000 Term: CONT Premium: 201.00 Amount paid: 201.00 Date paid: MAR-23-09 B-.11.1 to: INSD Prev prem: 201 Renew date: APR-28-10 Prev .risk: 0 Auto liab: LOWER Deductibles applied: Messages: Rate class- PREFERRED I Automobiles. 01 Rec vehicles: Comprehensive liab: Y Farm vehicles: Business liab: Drivers: 01 Office liab: Underage drivers: Employee liab: Rentals: Watercraft liab: Territory: A Family farms, Corp, or part liab: Farm comp, pers liab: 1 V~ fVi IAJO Lt~icZ~tn. yzaF zu ~F1~.a~` ~1U?~-e- ~ `1~in~c ~r-oi Received Time*Sep,25. 9:43AM F, 77~ i i i.. • 1 E t : 1 1•- ' • : J r s ~ fir] y i ~ ' {C . : -WT • tc a tStE'`i . . - f~ if> 13i c3 ~ r S: 1 " .7777 ' W" -74 ~l Mf . -r- . 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