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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 ---------------------------------------------------------------------------- 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. S o7/2"�0� s l�tF &oOL- 15 0•Ic- FC-0 e-E 14014 H7 JS o,lc 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 .. .