HomeMy WebLinkAbout1140 CASTRO LNENCROACHMENT PERMIT
CITY OF BAKERSFIELD
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 . . . . . 05- 30000086 Date 4/29/05
ATN (11yDigits): 1460244- 02 -00 -7 3b1 R
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
--------- --- ------ - -- - -- ------------------------
GUTIERREZ JOSE L & JUANA A OWNER /BUILDER
1140 CASTRO LN
BAKERSFIELD CA 93304 BAKERSFIELD CA 93301
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Permit . . . . . . ENCROACHMENT PERMIT
Additional desc .
Phone Access Code 365916
Permit Fee . . . . 150.00
Issue Date . . . . 4/29/05 Valuation . . . . 0
Qty Unit Charge Per Extension
1.00 150.0000 EA PW ENCROACHMENT 150.00
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Special Notes and Comments
41BLOCK WALL
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Fee summary Charged Paid Credited Due
--- ----- -- -- - - - -- - --- - - - - -- -- -- - - - - -- ---- - - - - -- ---- - - - - --
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .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.
ll f Jr % P�YY�Z
Signat�7e of Applicant (Owner / Agent) Print Name
Y 3 6
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) - , ST�(GRANTE E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFO (D ENIED). Said permit shall expire on date stated above.
Signature of Ci0rigineer
Additional Terms on the Back
El
•
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: May 10, 2005 .
SUBJECT: Encroachment Permit Application for 1140 Castro Ln.
Name of Applicant Jose & Juana Gutierrez
Description of encroachment. 4' block wall .
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.
SAPERMITS \ENCROACH\_Approval memo.doc
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40
B A K 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 3, 2005
SUBJECT: Encroachment Permit Application for 1140 Castro Ln.
Name of Applicant Jose & Juana Gutierrez
Description of encroachment 4' block wall
Please review the attached encroachment permit and return to me at your earliest convenience.
51-1141r
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SAPERMITS \ENCROACH \TRAFFIC \1140 Castro Ln..doc
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 3, 2005
SUBJECT: Encroachment Permit Application for 1140 Castro Ln.
Name of Applicant Jose & Juana Gutierrez
Description of encroachment. 4' Block Wall
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
IP
S:\ PERMITS \ENCROACH \INSURANC \_Insurance memo.doc
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 including phone number: ..7 0, q . L 114C Q!7 0'-T "k ("E fC 4 -'
2. Nature or description of the encroachment for which this application is made: /wone,�lG
Rlb ,^.k /-D xkv- 17.. A1 4k U/✓ovgh+ ►rUA I n .be -+weey cal Isrd -S ►n/!I -L
�U (/ �Qr C r D
3. Location of the proposed encroachment: hw)4- he, oSt % � LA
4. Period of time for which the encroachment is to be maintained:
App licant agrees that if this application is granted, a�licant shall indemnify, 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, or any of them, before administrative, quasi ;ludici.al, or judici,1 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
lire of.!,aid encroachment or until sucl, time that this permit is revoked.
Ap i'car.,t�further agree, ghat upon the :expiration of the permit for i vhich this application is made, if grante; % or upon
the revocation thereoUw the City engineer, applicant will at 1, i;, own and expense remove the same froni the public
rp g2ert , or right of wa'.i where the same is located, and resiore sai�' public Froperty or right of way to th.- condition
as nearly as than. in wb.ic en
h it was before the placing, erection, maintenance or existence of said erc:oachinent..
Applicant further agree3 to obtain and keep all liability insurance rer.luired by the City Engineer in full fora e and effect
for however long the encroachment remains. Applicant shall furnish the City Risk Ma°tager with a Certificate of
Insurance evidencing sufficient coverage for bodily injury or property damage liability or both a:id required
endorsements evidencing 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.
Date: — i e o pp is wn or epresentative
PERMIT
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 PUBLIC 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
Date:
Signature of ity Engineer
No
CITY 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.
(Street for puposed encroachment) (Owners Name)
of � Q ca -gi o LA)
(Address of purposed encroachment j
SIGNED:
Phone ( 6,� 6 U ' ° -b
1) Name: � k-�2. i,(JGO Q _
Address: A 1 24
2) Name:
Address: LU
3� Name:
Address:
4) Name:
Address:
5) Name:
Address:
6) Name:
Date: 1ZVAf
Date: '7
Date:
Date:
Date:
Date:
X/
Henry Hernandez
180121st St Suite 3
Bakersfield CA 93301
✓ Verify the information listed in the
Policy Declarations.
✓ Please call if you have any questions.
✓ File this package safely away.
✓ If premium is due or if it has changed, a
bill or refund will be mailed separately.
Jose Gutierrez
1140 Castro Lane
Bakersfield CA 93304 -4407
Confirming Your Policy Change
We've sent along this mailing to verify the changes to your policy that you recently
requested. The changes took effect on April 22, 2005. Please look over all the information
in this mailing, and call us right away if you have any questions or if anything isn't exactly
right.
The accompanying Amended Policy Declarations includes these changes:
A policy coverage has been changed.
There is no change in premium for the current premium period.
The coverages and limits you carry for your property, and the costs of those coverages, are
listed in detail on the enclosed Amended Policy Declarations. You can see the specific
changes to your policy by comparing this Amended Policy Declarations to the Policy
Declarations previously mailed to you.
If you have any questions or concerns, please contact me at (661) 327 - 7761 - - -or call the
Allstate Customer Information Center at 1- 800 - ALLSTATE (1- 800 - 255- 7828).
Sincerely,
'QOM
Henry Hem ndez
Your Allstate Agent
PROP IYVOOVIB6BIYI3I10I1VAINItlIIIVBflVVIYVYI04'lllll70 'IIIIIVICA �._ s of ...•
Allstate Insurance Company
AMENDED
Deluxe Homeowners
Policy Declarations
Summary
NAMED INSURED(S) YOUR ALLSTATE AGENT IS: CONTACT YOUR AGENT AT:
Jose Gutierrez Henry Hernandez (661) 327 -7761
1140 Castro Lane 180121 st St Suite 3
Bakersfield CA 93304 -4407 Bakersfield CA 93301
POLICY NUMBER POLICY PERIOD PREMIUM PERIOD
9 04 668280 06/20 Begins on June 20, 2004 June 20, 2004 to June 20, 2005
at 12:01 a.m. Pacific Time at 12:01 a.m. Pacific Time
and continues until cancelled
LOCATION OF PROPERTY INSURED
1140 Castro Lane, Bakersfield, CA 93304 -4407
MORTGAGEE
• INDYMAC BANK FSB ITS SUCCESSORS
AND /OR ASSIGNS
P 0 Box 10433 Van Nuys CA 91410 -0433 Loan # 1003885769
Totai Premium for the Premium Period (Your bill will be mailed separately)
Premium for Property Insured $452.00
TOTAL $452.00
Your policy change(s) are effective as of Apr. 22, 2005
PROP 1u91bl 11119dI3IIh2*
611111111IIIIVIIINIIIIIllil6lullll : � ..70AMD
t - -- ---
Allstate Insurance Company
Policy Number: 9 04 668280 06/20 Your Agent: Henry Hernandez (661) 327 -7761
For Premium Period Beginning: June 20, 2004
Your Policy Documents
Your Homeowners policy consists of this Policy Declarations and the documents listed below. Please keep these together.
- Deluxe Homeowners Policy form AP2 - California Amendatory Endorsement form AP29 -3
- Domestic Workers' Comp & Emp Liability AP1127 - Amendment of Policy Provisions form AP425
- Lender's Loss Payable Endorsement form AU319 - Deluxe, Deluxe Plus Amend End, form AP1290
- California Std Fire Policy Prov. End form AP1862 -1 - CA Deluxe Amendatory Endorsement form AP2237
Important Payment and Coverage Information
The Property Insurance Adjustment condition of your policy applies.
Do not pay. Mortgagee has been billed,
IN WITNESS WHEREOF, Allstate has caused this policy to be signed by two of its officers at Northbrook,
Illinois, and if required by state law, this policy shall not be binding unless countersigned on the Policy
Declarations by an authorized agent of Allstate.
Edward 4Md M Liddy
y Robert W. Pike
President Secretary
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