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HomeMy WebLinkAbout328 S BROWN STENCROACHMENT PERMIT �al) CITY OF BAKERSFIELD �� � PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFMI -D 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- 30000050 Date 5/12/08 Property Address . . . . . . 328 S BROWN ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------- --- - - -- - -- _ ------------------------ ROBLES JUAN N & GUADALUPE OWNER 328 BROWN ST BAKERSFIELD CA 93307 ------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 804823 Permit Fee . . . 200.00 Issue Date . . . 5/12/08 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 200.0000 EA PW ENCROACHMENT 200.00 ---------------------------- --------------------------- Special Notes and Comments Build fence in front yard just behind sidewalk, this fence is already built, it is made of wrought iron concrete block and not over 4' high. ------------------------------------------------------------- Fee summary Charged Paid Credited Due ------- -- - - -- ---- - - -- -- --- - - - - - -- ---- --- - -- -- -- - - - --- Permit Fee Total 200.00 200.00 .00 .00 Grand Total 200.00 200.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. 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 L / r B A I-: 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: June 2, 2008 SUBJECT: Encroachment Permit Application for: 328 S. Brown St. Name of Applicant. Robles Juan N & Guadalupe Description of Encroachment. Build fence in front yard just behind sidewalk, this fence is already built, it is made of wrought iron & concrete block and not over 4' high. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of description of encroachment. The site is located at address of encroachment. The applicant has provided proof of appropriate insurance coverage to Risk Management, and has provided signatures of all immediate, neighbors stating that they have no objection to the proposed construction. Based on their review, staff recommends approval of the permit. SAPERMIMENCROACK328 S. Brown St.doc a "Ooe F3 A IL E R S F I E L L7 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 15, 2008 SUBJECT: Encroachment Permit Application for: 328 S. Brown St. Name of Applicant. Robles Juan N & Guadalupe Description of Encroachment: Build fence in front yard just behind sidewalk, this fence is already built, it is made of wrought iron & concrete block and not over 4' high. Please review the attached encroachment permit and return to me at your earliest convenience. SAPERMITSTNCROACKTRAFFIM328 S. Brown St.doc 1-2,068 04V h�Iti�I D91 8 B A K E R. S F I E L L1 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 15, 2008 SUBJECT: Encroachment Permit Application for: 328 S. Brown St Name of Applicant. Robles Juan N & Guadalupe Description of Encroachment. Build fence in front yard just behind sidewalk, this fence is already built, it is made of wrought iron, concrete block and not over 4' high. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANC \328 S Brown StAoc Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $200.00 To the City Engineer of the City of Bakersfield, California: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, place, erect, use and maintain an encroachment on public prp rty or right -of- umb r. 1. Full name of applicant and complete address including p ne umber: 2. Nature or description of the encroachment for which this appli ation is fence, concrete block wall, raised planter, etc...) 14A)- Vl(�i� Q (� tiln 5gF- v (P I L.uP e. the undersigned applies for a permit to v as therein defined. e: 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 maintained(Indefinite or Other. Pleas cle) 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 \NpplicationforEncroachment 0�- 30000050 B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $200.00 To the City Engineer of the City of Bakersfield, California: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, place, erect, use and maintain an encroachment on public prp rty or right -of- umb r. 1. Full name of applicant and complete address including p ne umber: 2. Nature or description of the encroachment for which this appli ation is fence, concrete block wall, raised planter, etc...) 14A)- Vl(�i� Q (� tiln 5gF- v (P I L.uP e. the undersigned applies for a permit to v as therein defined. e: 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 maintained(Indefinite or Other. Pleas cle) 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 \NpplicationforEncroachment 0�- 30000050 s �Qyl 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 purposed encroachment) (Owners 'Name) �-° &a Phone (Address of/purposed encroachment) SIGNED: 1.) Name: _ % u (F,)N 2�rcc � r L Address: 4"" -�- ,3rcocc v 2.) Name: 6U& bc2±S_!_b Address: . _'�U `,. n C-4 933U�. 3.),,Name: k, i LAA I o�ynJ Address: �� l` --,c v19 (Lato,, s.4- 4.) Name: fe Address: �t, 5.) Name: 1 o Address: `t fad 6.) Name: , CL Address: Date: /—� 6!a – Date: - /- O'� Date: 5— 12 —02 Date: C I L F( Date: Date: �n T..T Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 ENCROACHMENT PERMIT REQUIREMENTS 1. Application 2. Permit Fee of $200.00 3. Drawing; Minimum 8 1/2 x 11 showing encroachment on lot in relation to the existing curb, gutter and sidewalk, along with distances from curb, gutter and sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and any additional information that may assist the City in making a determination as to your request. 4. Type and Amount of Insurance Coverage for fence installation or construction for A. Residences Homeowners General Liability coverage in an amount of at least $300,000.00 B. Commercial Commercial General Liability coverage in an amount of at least $1,000,000.00 2. Additional Insured Verbiage (For Commercial) A. The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as additional insured's with respect to (i.e. the installation of a chain link fence at 1501 Truxtun Ave.). S:\ EncroachmentPermitsiInsuranceRequirements • B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 ENCROACHMENT PERMIT REQUIREMENTS 1. Application 2. Permit Fee of $200.00 3. Drawing; Minimum 8 1/2 x 11 showing encroachment on lot in relation to the existing curb, gutter and sidewalk, along with distances from curb, gutter and sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and any additional information that may assist the City in making a determination as to your request. 4. Type and Amount of Insurance Coverage for fence installation or construction for A. Residences Homeowners General Liability coverage in an amount of at least $300,000.00 B. Commercial Commercial General Liability coverage in an amount of at least $1,000,000.00 2. Additional Insured Verbiage (For Commercial) A. The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as additional insured's with respect to (i.e. the installation of a chain link fence at 1501 Truxtun Ave.). S:\ EncroachmentPermitsiInsuranceRequirements Ma8 12 08 12:58p (QA11state. You're in good hands. ALLSIVE INSURANCE COMPANY CALIFORNIA HOMEOWNERS Home Office Calendar hate: 05/12/2008 Northbrook, IL. Policy Number: 037546270 1 / 14 Insured JUAN ROBLES Address 328 S BROWN ST city BAKERSFIELD at.: CA Zip Code: 0307 Home Phone No.: 661 - 631 - 0432 ADD /CHANGE SECTION I AND II COVERAGE5 LIMITS /Family Liability Protection - each occurrence $300000 Guest Medical Protection - each person $1000 Conditions respecting Binder - Such insurance as may be bound by this service request: 1, is afforded in r-el idnc:e by the Company on the statements made by the Insured; 2. shall be effective vri Lhe dale, and at the time stated, but in no event sooner than such date and time; 3. is subject, to Lhe Lerms, exclusions and conditions of the Company's policy form, and of the forms and endorsements approved for use with such policy; 4. is limited to a period of thirty (30) days, beginning with the effective date hereof and expires at 12:01 A.M. Standard Time with respect to the ciesiyndLed property insurance policy on the last day of such limited period; provided, however, that the Company may sooner terminate such insurance by mailing to the Insured, at the address stated, written nuLice of rejection of this Service Request_ n_ _ i .. �' AA.. ., .. PAGE 213 "RCVD AT 51121200811 :50 :05 AM [Pacific Daylight Time] X SVRAMORKI3"DN18 :2011 a CSID: a DURATION (mm•ss);01.04 p.2 MaH 12 OB 12:58p Allstate. You're in ,food hands. Home Office Northbrook, IL ALLSTATE INSURANCE COMPANY CALIFORNIA HOMEOWNERS Calendar Date: 05/12/2008 Policy Number: 037546270 1 / 14 This request is subject to policy terms and is effective only if the policy noted abov 's c:urrenLly in force. Effective 11 44 AM 05 / 12 / 2008 SAR417 -2 072569 F77 6613278039 Agent # Location Agent's Phone # Page 2 of 002 PAGE 313' RCVD AT 51121200811;50;05 AM [Pacific Daylight Time] E SVR,NEWYORKI3 x DNIS,2011 E CSID, a DURATION (mm- ss).01-04 p.3 - - ` II f - ct a:�