HomeMy WebLinkAbout4028 EDITH LNENCROACHMENT PERMIT
CITY OF BAKERSFIELD �b
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(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- 30000040 Date 4/14/08
Property Address . . . . . . 4028 EDITH LN
Application type description PW - ENCROACHMENT PERMIT
Owner
-----°------------------
ORGANISTA VICTORINO & ANA R
4028 EDITH LN
BAKERSFIELD CA 93304
Contractor
------------------ - - ----
OWNER
----------------------------------------------------------------------------
Permit . . . ENCROACHMENT PERMIT
Additional desc .
Phone Access Code 795625
Permit Fee . . . . 200.00
Issue Date . . . . 4/14/08 Valuation . . . . 0
Qty Unit Charge Per Extension
1.00 200.0000 EA PW ENCROACHMENT 200.00
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Special Notes and Comments
Existing 4' chain link fence with iron
gate across front of property at back of
sidewalk.
------------------"----------------------------------------------------------
Fee summary Charged Paid Credited Due
------ ----- - - -- -- --- - - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - ---
Permit Fee Total 200.00 200.00 .00 .00
Grand Total 200.00 200.00 .00 .00
int acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
at any time
C/ 14 A 4,111��L L ,
ire of A - t ( ner /Agent) Print Name Li
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) N� TTUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE P T -W(DENIED). Said permit shall expire on date stated above.
Signature of City Engineer
40
Additional Terms on the Back
i
E 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: May 16, 2008
SUBJECT: Encroachment Permit Application for: 4028 Edith Ln.
Name of Applicant. Ana Organista
Description of Encroachment: Existing 4' high chain link fence with iron
gate across front of property at back of
sidewalk.
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.
SAPERMIT&ENCROACK4028 Edith Ln.doc
E A IL E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 7, 2008
SUBJECT: Encroachment Permit Application for: 4028 Edith Ln.
Name of Applicant: Ana Organista
Description of Encroachment: Existing 4' chain link fence with iron gate
across front of property at back of sidewalk..
Please review the attached encroachment permit and return to me at your earliest convenience.
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S: \PERMITS \ENCROACH \TRAFFIC \4028 Edith Ln.doc
D A Imo. E k S F I E E E
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 7, 2008
SUBJECT: Encroachment Permit Application for: 4028 Edith Ln.
Name of Applicant. Ana Organista
Description of Encroachment. Existing 4' chain link fence with iron gate
across front of property at back of sidewalk..
Please review the attached certificate of insurance and encroachment permit and return to me
at your earliest convenience.
(jW I
S: \PERMITS \ENCROACH \INSURANC \4028 Edith Ln.doc
IV
D A Imo. E k S F I E E E
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 7, 2008
SUBJECT: Encroachment Permit Application for: 4028 Edith Ln.
Name of Applicant. Ana Organista
Description of Encroachment. Existing 4' chain link fence with iron gate
across front of property at back of sidewalk..
Please review the attached certificate of insurance and encroachment permit and return to me
at your earliest convenience.
(jW I
S: \PERMITS \ENCROACH \INSURANC \4028 Edith Ln.doc
APR -07 -2008, 14:30
CASABLANCA
MCGRAW INSURANCE SERVICES
P.O. BOX 40
ANAHEIM, CA 92815 -0040
(800)303 -5000
PACIFIC SPECIALTY INSURANCE COMPANY
(BEST RATED A ADMITTED)
`1 1AMED INSURED AND,,ADDRESS
' )RGANISTA VICTORIANO
� )RGANISTA ANA ROSA
;}4028 EDITH LN
`3L AKERSFIELD, CA 93304
8188386654 P.02
PAGE 1
POLICY NO.
ANG 0264408 -01
PRODUCER: B27058 (818)838 -6655
L SAHAGUN INC.
CASABLANCA RISK MGT & INS AGCY
411 N MACLAY AVE
SAN FERNANDO, CA 91340
CALIFORNIA - HO -3 PREFERRED PERSONAL HOMEOWNERS
* ** DECLARATIONS * **
POLICY NO ANG 0264408 -01.
POLICY TERM: 12/11/2007 TO 12/11/2008 12:01 A.M. STANDARD TIME AT THE ADDRESS
OF NAMED INSURED AS STATED HEREIN.
?ROGRAM:: HO -3 PREP
".OVERED PROPERTIES
# OCCUPANCY USE # UNITS YEAR ROOF CONSTRUCTION # STORIES ROOF YEAR
1 OWNR PRIM 1 1978 COMP FRME 1 2000
SQUARE FEET 1,165 (SEE BELOW)
PROTECTION CLASS: 3
COST CLASS STD
PROPERTY ADDRESS:
4028 EDITH LN
COUNTY: KERN
BAKERSFIELD
COVERAGE(S):
*
DED, UNLESS SPECIAL DED. BELOW
$1,000 DEDUCTIBLE
A
DWELLING
$157,000 LIMIT
A2
ORDINANCE OR LAW COVERAGE
B
OTHER STRUCTURES
$15,700 LIMIT
C
PERSONAL PROPERTY
$78,500 LIMIT
CR4
UNSCHED. PERS. PROPERTY (ACV)
D
LOSS OF USE
$31,400 LIMIT
E
PERSONAL LIABILITY
$300,000 LIMIT
INSURED COPY
SEE OVER
Printed on 04/07/2008
CA 93304
04/07/2008: 13:41:20
PREMIUM
INC
524.00
INC
INC
INC
26.00 -
INC
25.00
APPLICATION FOR ENCROACHMENT PERMIT
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.
1. Full name. of applicant and complete address includinst.phone number:
74
3. Location of the proposed encroachment: Z1,6.
4. Period of time for which the encroachment is to be maintained: ��'P "j;
Applicant agrees that if this application is. granted, applicant shall lndernnify, 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, orany pfthem, beforeadmimstrative, quasi-judicial, orjudicial tribunals ofanykind whatsoever, arisin
out of, connected with, or caused b applicant's placement, erection, use (by applicant or an other Verson or entity
or maintenance of said encroachment. The applicpant 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 e=mit for which this application is made, if granted, or
a at cst v e e
or right o way where a same ss ocated, restore said c property or right of way to the conduson
as near y as that in which it was before the placing, erection, amsintenaace or existence of said encroachment.
AppUcant further agrees to obtain and keep all liability iast=rance required by the City meet is fuU force and effect
for however long the encroachment remains. Appl =teat shall furnish the City Risk lld"anager with a Certificate of
Insurance evidencing suicient coverage for bodily inj or property damage liability or both and required
endorsements evidencing the insurance required. The type(s� and amounts) of insurance•coverage is:
Applicant acknowledges the right of the City EngineZIS'natumra t.,to•,Ballersf=el = unicipal,..Code,�h�p r 2.20 to
revoke the p 't at any time.
Date: __.
of p t or Represeihtaftivc)
PER. IT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE
FOREGOLNG APPLICATION AND FIND THAT THE MARTMANCE OF SAID ENCROACHMENT (1) WILL
(NO SUBSTANTIALLY INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME TO
BE LO IS LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GRANTED) (DENIED). SAID PE IMIT SHALL EXPIRE
Date:
=gnature of ity Engineer
No. mo
K
CI ''Y OF BAKERSFIELD
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.
s
tt av, lGa I)Cqr,
(Street for Ouodsed encroachment) I (Own )fs e)
r
of c Phone: /7 fi 6
(Address of purposed encroachment )
SIGNED
)
Name: ,0�
Address: . O LN
3) Name: 1 rJ' � ca c r f c; ; z v
!address:
3) Name:
Address:
4) Name:
Address:
3) Name:
Address:
4) Name:
Address:
,
aste:. 3 '26
Date: `7
1
.. .