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HomeMy WebLinkAbout5501 SARA JANE STW BA ENCROACHMENT PERMIT N O`�amvo.e, S CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE rgyM. a® BAKERSFIELD CA 93301 C LIFO (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 . . . . . 12-30000034 Date 8/29/12 Property Address 5501 SARA JANE $T Application type description PN - ENCROACHMENT PERMIT Owner contraceor ________________________ __________________.____. CARHUAZ MATEO OWNER 808 N SECOND $T YA22MA WA 98901 ___________________________________________________________ Permit . . . ENCROACHMENT PERMIT Additional dean . . Phone Access Code . 123]]26 PBrmit Fee . . . . 208.00 Issue Date . . . . 8/29/12 Valuation 0 Oty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ____________________________________________________________________________ Special Note$ and Cosalants August 29, 2012 12:21:08 PM mmendenhal. Place concrete block base wood wall 6 - behind curb at side yard. Contact Mateo Carhuaa (509) 823-9090 on s ary Charged Paid Credited Fee mm u___________ __________ __________ __________ __________ Due ____ Permit Fee Total 208.0D 208.00 .00 .DO 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 p Fmit at any timer Car-" -2 Signatuvu�of Applicant ( ner/Aggct}) 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) Q0N6T4;WTE A HAZARD TO PERSONS .USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFOR (GRANNT (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back -2 A i B P. IG E R S F IF E L D Public Works Department 1501 Truxtun Avenue. Bakersfield, California 93301 (661)325-3724 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-orf-fwayL/'as therein defined s , 1. Full name of applicant and complete address including phone number: r I X17 eo l a T- ku6L -z- 5501 550! Sara Jane S+ keaAeld LA 933!2 (509) 823-- 9`0Y0 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...) 3. Location of proposed encroachment: (Example: Side yard at back ofsidewalkorfrontyard at back ofsidewalk) 4crv��i c��tuz o S lei�lgt 4 Period of time for which the encroachment is to be maintains fndefinif , or Other. ase Circle) 5. Is property part of a Homeowner's Association Yes L, No 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 duringthe 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 tv or right of way where the same is located, and restored said public property or right of way to the condition. as 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. SAEncroa<hmentPeonitsVipplicationforEncroachment - .. E A I< E P, S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661).326-3724 TO WHOM IT MAY CONC We the undersigned, have no objection to the construction of fence beside the Sidewalk within the Public right -Of -way: i fZ C7 Q yi G✓c2 Gd BY: Mg4o CQ G.cli Z (S"C for proposed ancruechmnnt) p (3313 (Owners Neme) hO1 saru,i4ve ST (sCj<ers 'e(d 2hal (A dd,css of proposed encranchmem) SIGNED: i.j Name, 'ch-.-� d y , Adtlress: _ t-�syp-'Ar .; r -2� 2.) Name:. I)/A31 Address: SqQKill nnr.L 3.) Name: I C oa Y of Address,- --I .r ! -1 Name. .r ( --a, Address: 4G 5.) Name. Address: 'J - 6.) Name: Address:•-; Date, d DateZ-a - o,i .Date: 9' � /%. Dater 9 - 4z' Date: 2--- 2 Date: -6 Z2 -AZ A`C EVIDENCE OF PROPERTY INSURANCE August21,2012 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. .ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS. EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. woaxcvMf .661-396-7961 COMPANY —_------xucw 25151 OSTATE FARM INSURANCE ROSIE SCHWEER, AGENT State Farts General Insurance Company 4200 GOSFORD RD, STE 103 BAKERSFIELD CA 93313 INSURE. LOAN NUMBER '-D'NUMBER 87 -B3 -N371-8 G MATEO CARHUAZ EFFECINE DATE E%PIRATION .ATE CONTNU 5501 SARA JANE ST 03/30/2012 03/30/2013 TERMINA BAKERSFIELD CA 93313 THIS REPIACES PMOR SODENCE Da D. PROPERTY INFORMATION LOCATOMESCRIPT01 5501 SARA JANE ST BAKERSFIELD, CA 93313 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SHOULD ANY OF THE: ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MORTGAGEE [J ADDRIONLL INSURED The ACORD name and logo are mgj4terod marks of�CORD 1004363 142988 09-30-2011 COVHtAGE IPEWL3/FORMS AMOUNTOFINSUMNCE DEDUL BLE. PERSONAL LIABILITY $ ' 300,000 $ 0 SHOULD ANY OF THE: ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MORTGAGEE [J ADDRIONLL INSURED The ACORD name and logo are mgj4terod marks of�CORD 1004363 142988 09-30-2011 J'\&t-c o Lae lnuo2 PkOKC' 55©� S'oro �ccne Sf 5'OQ-823-90110 �clfce 5�e� g33i3 6P- 37y-163-7 ___ Proposed eNcrDacti rtim+ Mew �evace) 0� �Cace I t IK(Q U'S e- 161 ii move- OU'rWsr� I i F ,� fFSi Gr�ide (Q1 clr`ive a?froa,4 - � O _I I } I (/ F- n_ • H _� h E R S F I E L L) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: October 8, 2012 SUBJECT: Encroachment Permit Application for: 5501 Sara Jane St Name of Applicant: Mateo Carhuaz Description of Encroachment: Concrete block base wood we// 6' behind curb at side yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Sera Jane Sl.doc • B A I� E R 5 F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: October 8, 2012 SUBJECT: Encroachment Permit Application for: 5501 Sara Jane St Name of Applicant: Mateo Carhuaz Description of Encroachment: Concrete block base wood wall 6' behind curb at side of house. Please review the attached encroachment permit and return to me at your earliest convenience. S:IPERMITS\ENCROACRITRAFFIC\5501 Sara Jane St.Eoc