HomeMy WebLinkAbout6104 CHESTER W NIMITZ STENCROACHMENT 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 . . . . . 08- 30000014 Date 2/28/08
Property Address . . . . . 6104 CHESTER W NIMITZ ST
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
--- --=--- --------- - - - - -- ---- ------------- - - - - ---
MONTOYA FRANK JESUS SR & SUZAN OWNER
6104 CHESTER W NIMITZ ST
BAKERSFIELD CA 93304
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Permit ENCROACHMENT PERMIT
Additional desc S
Phone Access Code 777581
Permit Fee . . . . 200.00
Issue Date . . . . 2/28/08 Valuation . . . .
Qty Unit Charge Per Extensior
1.00 200.0000 EA PW ENCROACHMENT 200.0(
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Special Notes and Comments
Build fence not over 41 high made of
wrought iron and brick. this fence is
already built.
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Fee summary Charged Paid Credited Due
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Permit Fee Total 200.00 200.00 .00 .00
Grand Total 200.00 200.00 .00 .00
Applicant acknowledges the right of the City Engir to the Bakersfield Municipal Code Chapter 12.20 to revoke the
pe t at a time.
- -SS'igna ure o pplicant (6 ner /Agent) )
I HEREBY CERTIFY THAT I HAVE MA' U l f Lj
APPLICATION AND FIND THAT Tl
SUBSTANTIALLY INTERFERE WITH T1
WILL (NOT) CONSTITUTE A HAZAR
> / IS
THEREFORE (GRANTED) (DENIED). Sa'
lit
Signature of City Engineer
6�s �'j
Additional Terms on u,., _ -
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1 APPLICATION FOR ENCROACIDIENT PERMIT
yg7 -5 3.g1
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 addre S' ludina.phone number: G d
I,7 / to _q- 0_'A ('_4 l�l i I'Yl e & / ?,-3- l 3 i
2. Nature -or'. description of the encroachment for which this application is made:
3. Location of the proposed encroachment:
4. Period of time for which the encroachment is to be maintained: _
Applicant agrees that if this application is. granted, applicant 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-judicial, or judicial tribunals of any kind whatsoever, ansin
out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other pperson 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 •Wo_n
nrooertv or right of way where the same is located, and restore 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 obtiin and keep all liability insurance required by the City En ''aed 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 ** or property damage liability or both and 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.xo :Bakersfield Municival'c 9deC 2.20 to
revoke the permit at any time.
Date: -
Sigwftu& of t (Owner o e resentative
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 (GILMED) (DENIED). SAID PEILNIIT SHALL EXPIRE
Date:
No.
0 ?- 300000tH
Signature of ity Engineer
' w".1Y O.A �BAKERSFIELD
r. DiiiiT, ME14T OF PUBUC 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.
r
�iti , lMr 8 : Jztv__u;
(Street for puposed encroachment) (Owners Name)
Phone:&- ` l �7 S-3 k1
purposed encroachment)
SIGNED:
Date:
1) Name:
Address: (S•W: , �°
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2) Name:,, �•
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!address: d� / �� .�,
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3) Name:
9,121 Date: 3-A R'
Address:
4) Name:
Date:._
Addre�s:
S) Name:�,k
Date:
Address
6) Name: '
Date:
Address:
Kemper
A UNITRIN BUSINESS
WM K LYONS AGENCY INC Insurance Provided By
P O BOX 319 KEMPER INDEPENDENCE
BAKERSFIELD CA 93302
INSURANCE COMPANY
Agency Phone (661)327 -9731 5210 Belfort Road - Jacksonville, FL 32256 -6017
Named Insured and Mailing Address Policy Number Policy Period
0000682 SP "SNGLP T92402293304- 715604052 3 08029 UG 359902 Effective: 03 -15 -2008
III II II II III I II I I II II III I I Expiration: 03 -15 -2009
Producer Code 12:01 a.m. standard time at the
FRANK MONTOYA
53 -0725
SUZANNE MONTOYA location
premises/dwelling.
6104 CHESTER W NIMITZ
BAKERSFIELD CA 93304 -7156
POLICY DECLARATIONS - HOMEOWNERS POLICY
This certificate continues your policy in force for the policy period shown. It will become effective only if the required premium is paid
before the effective date of the Policy Period stated. The required premium will be billed under the Kemper Billing System.
Please attach this certificate to your policy. -
HOME INFORMATION
The residence premises covered by this policy is located at the address below:
6104 CHESTER W NIMITZ
BAKERSFIELD CA 93304
COVERAGES Coverage applies only if a premium or Limit of Annual
limit of liability is shown for the coverage. Liability Premium
SECTION I — COVERAGES
• A. Dwelling $ 221,000 $ 671.00
• B. Other Structures $ 22,100
• C. Personal Property $ 154,700
• D. Loss of Use $ 44,200
* Indicates a change was made to your policy
AK 5035 (0800) CONTINUED ON REVERSE
0013523 1 0000682
SECTION 11— LIABILITY
E. Personal Liability: each occurrence
$ 300,000
$ 43.00
F. Medical Payments to Others: each person
$ 5,000
DEDUCTIBLE — SECTION I, — In case of loss we cover only
that part of the loss over theldeductible stated below:
Policy $ 1,000
INCLUDED
Total Premium for Endorsements
$ 15.00
TOTAL RESIDENCE PREMIUM
$ 729.00.
The limit of liability for this structure (Coverage A) is based on an
estimate of
the cost to rebuild your home, including an
approximate cost for labor
and materials
in your area, and sp6cific information that
you have provided about your home.
Payment Expected From: Mortgagee
* Indicates a change was made to your policy
AK 5035 (0800) CONTINUED ON REVERSE
0013523 1 0000682
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B A K E R S F I E L F)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: March 28, 2008
SUBJECT: Encroachment Permit Application for: 6104 Chester W. Nimitz St.
Name of Applicant: Suzanne Montoya
Description of Encroachment: 4' high fence made of wrought iron and brick
(fence already built) ,
Please review the attached encroachment permit and return to me at your earliest convenience.
S: \PERMITS \EN6ROACH \TRAFFIC \6104 Chester W Nimitz.doc
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OE A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: March 28, 2008
SUBJECT: Encroachment Permit Application for: 6104 Chester W. Nimitz St.
Name of Applicant. Suzanne Montoya
Description of Encroachment. 4' high fence made of wrought iron and brick
(fence already built)
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\ PERMITS \ENCROACH \INSURANC \Chester W Nimitz.doc
•
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: March 31, 2008
SUBJECT: Encroachment Permit Application for: 6104 Chester W. Nimitz St.
Name of Applicant. Suzanne Montoya
Description of Encroachment: 4' high fence made of wrought iron and
brick. (fence already built)
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.
I
SAPERMITS \ENCROACH \6104 Chester W. Nimitz St.doc