HomeMy WebLinkAbout03-30000016
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIEW 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 . . 03-30000016 Date 3/10/03
Property Address . . . 1021 SANDRA DR
Application description . . . PW - ENCROACHMENT PERMIT .
Owner
Contractor
LEMUS JOAQUIN & HERNANDEZ SILV
1021 SANDRA DR
BAKERSFIELD CA 93304
(661) 833-6598
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . ... .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
62729
145.00
3/10/03
valuation
o
Qty Unit Charge Per
1.00 145.0000 EA PW ENCROACHMENT
Extension
145.00
Special Notes and Comments
INSTALL FENCE IN FRONT YARD
fence constructed prior to approval
Fee summary Charged Pa~d Credited Due
Permit Fee Total 145.00 145.00 .00 .00
Grand Total 145.00 145.00 .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.
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Signature of Applicant (Owner/Agent)
S\\\J'~ 0.-
Print Name
\d e'fY)o.\f\ d e:c
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACfS 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.
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Signature of City Engineer
Additional Terms on the Back
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 or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant, or in any way arising
from, the terms and provisions of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said
encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful
misconduct. The applicant further agrees to maintain the aforesaid encroachment during the life of the 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 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 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 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 issuance evidencing sufficient coverage for
bodily injury or property damage liability of both and required endorsements evidencing the insurance required.
I have read and acknowledge the above.
_ Applicant's Initials
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
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TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
October 7, 2003
SUBJECT:
Encroachment Permit Application for 4' wrought iron fence wlbrick pilasters alongfront
and side yard at back offuture sidewalk.
Joaquin Lemus & Silvia Hernandez
1021 Sandra Drive
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of
4' wrought iron fence w/brick pilasters along front and side yard at back of future sidewalk. The site is
located at 1021 Sandra Drive.
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.
S:\PERMITS\ENCROACH\03-04 Permits\I021 Sandra Dr.doc
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the provisions of Chapter 12.20 .0fJh(:~ ~_ak~sfield MAAicipa} . Code, the undersigned .applies for.a pennit
to place, erect, use and maintain an encroachment on public prci"perty'or riglit~f-waYasthereii1~defiIied:--"''-'-_._":.o:.~---'_c_;
1.---FuH-name-of--applicant-and-complete.address.including.phQn~nymber: ~;H:lj~U ~ __
\ O~.\ ~nnr\ro. ''0 r ~(). ~ ~ \.{) ~'M~ J4j Cf ~3()J.J
2, Nature or description of the encroachment for which this application is made: ""F() ( MQ. ~ \nvlr .~ ()~
u)V\\C"Y\ \<":;V\ex'-\- .to .~ VlU\ASel0.r'u1 vJp ('OYl \-c.>\;\ ~\tNll\~.
a\;\ r~ fOUhO ,4-..
3. Location of the proposed encroachment:
~rNf\\ \l(\'fo.
4. Period of time for which the encroachment is to be maintained:
lN~\\ '(\~ -\O~e \nO\\_\rcq~".~~S f-
Applicant agrees that if this application is granted, ap'plicant shall indemnify, defend and hold hannless City, its
officers, agents and employees against any and allliablhty, claims, actions, causes of action or demands, whatsoever
against them, or any ofthem, before administrative, quasi-judicial, or judicial tribunals of any kind whatsoever, arisin~
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 pennit is revoked.
Applicant further agrees that upon the expiration of the pennit for which this application is made, if granted, or YRQ!1
the revocation thereofb the Clt en . eer a licant will at his own cost and ex ense remove the same from the ublic
property or right of way where the same is located, and restore said public property or ri~t 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 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 pennit at any time.
Date: B I (}t / D "'.J
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 CIty Engmeer
No.
Id
~ITY OF BAKERSFIELD
D~PARTMENT OF PUBLIC WORKS
T6"WHOM--"IT--MAy.'ccfNCE"R'N:""'''''-'
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:.:.:.~;.:_=.-':-:'^~:: ~~k':':':.o:;.,:;_ "::;- .-~;":;.:'':
We the undersigned, have no objection to the construction of a fence beside the
sidewalk within the public right otway. . .
~ 'tad- \ Z;o..~-(o.. Dr-
(Street for puposed encroachment)
Bv: ~..\\ \) l a '~k"Y\o.X\dQ.L
(Owners Name)
of
Phone:
(Address of purposed encroachment)
SIGNED:
1) Name: (/)~ _~ bI/JrjJ~w ~Y'
Address: tf?'J- <c'5'jll/ll/i f))
2) Name: IlJJy ~J;if ,1}:dI ~
Address: ~_ '_~~~ ~ .
3) Name: ill rz/14 IZo ck ~C' C
Address: 101D S,QAJ{~I
4) Name: ~~~Q ~~. .
Address: __ ~_~ ~~7 .
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5) Name: J () a.- ~ f-)r-..f:::::.
Address: / I () LL )" 4.r/ ..t r- A't 0 V'-.
6) Name: a/YI/if{~te~ .
Address: ) j) L (}a/1A~~ ./J~.;\
Date: ~ --'d- 1 - C5
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Date: o~1 :L7-tJ?
Dal~Z? - D ")
Date: l}J/vJ - ai~
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Date: ~J 1 ,:-6~
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B~L\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: October 3,2003
SUBJECT: Encroachment Permit Application for 1021 Sandra Drive.
Joaquin Lemus & Sylvia Hernandez
Wrought iron fence with brick pilasters 5' behind curb in front yard
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
fJ
S:\PERMITS\ENCROACH\INSURANC\1021 Sandra Dr.doc
VIDENCE 0)' :PROPERTY INSURANCE ATB: 3/07/2003
THlS lS EVJDE:NCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN INSURED. IS IN FORCE. AND CONVEYS ALL THE RIGHTS AND ...
PRIVILEGES AFFORDED UNDER THE POLICY.
:JI.ROD'UCXR; sKA/ S'10CKDALE INSURANCE AGENCY
BAKERSFIELD CA
LOANNUMBKR:
1990208
POLICY NUMBKR:
HMC 0012375179
COMPANY
ALLIED GROUP
A NATIONWIDE INSURANCE COMPANY
7D1 5th AVE.
DES ~OINES, IA 5D391
lNSURlID
JOAQUIN LEMUS
SILVIA HERNANDEZ
1D2"]. SANDRA DR
BAKERSFIELD, CA 93304
EFnCTIVE DATE:
1.0/31./2002
:KXP.IRAnON DAn::
10/31./2003
ROPER-TV J:NTORMATIO
. LOCAlIONIDESCJUIlTION:
1021 SANDRA DR
EAKXRSF~XLD, CA 93304
COVERAGE INFORMATION
COvmAGES
AMT. OF INSURANCE nmUCTlBLE
AMOUNT
COV.A. DWlLLlNG 110000
COY.:8. OTHER. SllWC'J1IIlE5 11000
C::OV. c::. ft:It.SOHIU. 'PROPDlTY 77000
c::OYDtD 'DlLS
500
COV.D.J..OSS OTlJSI:
COY. E.. LIABlLIIT
liS
300000
1.000
PRINCIPAL RESIDENTIAL MORTGAGE
INC
711 HIGH ST
DXS ~OINXS, ~A 50392
Q 1I0RTG.1.GEE
o LasS PAYEE
o ADDITI<BAL INSURED
A1f.IH0RlZED :REPRESENTATIVE:
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: October 3,2003
SUBJECT: Encroachment Permit Application for 1021 Sandra Drive.
Joaquin Lemus & Sylvia Hernandez
Wrought iron fence with brick pilasters 5' behind curb in front yard
Please review the attached encroachment permit and return to me at your earliest convenience.
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Oft- tOI (6103
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S:\PERMITS\ENCROACH\TRAFFIC\1021 Sandra Dr.doc