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HomeMy WebLinkAbout05-30000087 ENCROACHMENT 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 . . . . . 05-30000087 Date 5/02/05 Property Address . . . . . . 5703 SUMMER CYPRESS DR MD ATN (11 Digits): - - - Application type description PW - ENCROACHMENT PERMIT Owner Contractor CASABAR JAIME C JR 5703 SUMMER CYPRESS DR BAKERSFIELD CA 93313 OWNER Permit . . . . ~ Additional desc . Phone Access Code Permit Fee . . . Issue Date .. . ENCROACHMENT PERMIT 366815 150.00 5/02/05 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments P/W ENCROACHMENT 50 LF 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. gent) ,-\~\-I...'t CAS.~~~<... ~"'-. 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) SUBST ANTIALL Y 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 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 fumish 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. ~,d and acknowledge the above. ~icant's Initials ----- ~ . - BAKERSFIELD 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 5703 Summer Cypress DR.. Name of Applicant Jaime Casabar Jr. Description of encroachment. 50' of 6' 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. S:\PERMITS\ENCROACH\_Approval memo.doc 05 - 87 ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 4,2005 SUBJECT: Encroachment Permit Application for 5703Summer Cypress Dr. Name of Applicant Jaime Casabar Jr. Description of encroachment 50' of 6' block wall Please review the attached encroachment permit and return to me at your earliest convenience. 5!tJb It> 5 o.fc. 4#r S:\PERMITS\ENCROACH\TRAFFIC\5703 summer cypress dr..doc ~ . - BAKERSFIELD 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 5703 Summer Cypress Dr. Name of Applican Jaime Casabar Jr. Description of encroachment. 50' of 6' block wall Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. {f S:\PERMITS\ENCROACH\INSURANC\5703 Summer Cypress DR. ,doc ..... ENCROACHMENT 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 . . . . . Property Address . . . . " . ATN (11 Digits) : Application type description 05-30000087 Date 5703 SUMMER CYPRESS DR MD 5/02/05 PW - ENCROACHMENT PERMIT Owner Contractor CASABAR JAIME C JR 5703 SUMMER CYPRESS DR BAKERSFIELD CA 93313 OWNER ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 366815 150.00 5/02/05 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 ---------------------------------------------------------------------------- Special Notes and Comments p/w ENCROACHMENT 50 LF ---------------------------------------------------------------------------- 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. -\~\ \-\.'E: ~s.0\\;jf\ ~ ,\ ~ . 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 ENCROACIlMENT (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.eity 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. ~ead and acknowledge the above. ~plicant's Initials -~- Balboa Insurance Company Processing Center D-BILL: WELLS FARGO HOME MORT. INC P.O. Box 85087, San Diego, CA 92186-5087 ~EW POLICY PAGE: 1 GA: 1 ARROWHEAD GENERAL INSURANCE AGENCY 6055 LUSK BLVD SAN DIEGO, CA 92121 PRODUCER: 154104 (888) 395-1200 INSURANCE COUNSELORS,INC. A DIVISION OF GEICO DIRECT ONE GEICO BLVD. FREDERICKSBURG, VA 22412 lOCA TION (if different from Insured address) NAMED INSURED AND ADDRESS JAIME CASABAR 5703 SUMMER CYPRESS DRIVE BAKERSFIELD, CA 93313 POLICY NO: BH02 0 0 0 0 0 8 Policy Period: COUNTY: KERN 1 / 3 0 / 2 0 0 5 to 1 / 3 0 / 2 0 0 6 HOMEOWNERS DECLARATIONS 12:01 A.M. Standard Time at the Address of the Named Insured as Stated Herein. COVERAGES Al'm LIMITS OF LIABILITY 168,000 PREMIUM OR LIMIT OF LIABILITY SHOWN FOR THE COVERAGE: - - - SECTION I - - - - - - - - 1- - -SECTION 11- - -I B.OTHER C.PERSONAL D.LOSS E.PERSONAL F.MEDICAL STRUCTURES PROPERTY OF USE LIABILITY PAYMENTS 16,800 84,000 33,600 300,000 2,000 COVERAGE PROVIDED WHERE I - - - - - A.DWELLING FOR LOSS UNDER SECTION I, WE COVER ONLY THAT PART OF LOSS OVER THE DEDUCTIBLE STATED: $1000 LOSS DEDUCTIBLE SUMMARY OF PREMIUM BASIC PREMIUM ADDITIONAL ,PREMIUM TOTAL PREMIUM $544 $152CR $392 TOTAL PREMIUM POLICY FEE TOTAL POLICY $392.00 $50.00 $442.00 POLICY SUBJECT TO THE FOLLOWING SURCHARGES, CREDITS, ENDORSEMENTS FORM NO EDITION DESCRIPTION LIMITS HO 00 03 4/91 SPECIAL FORM HO 04 90 4/91 REP COST-PERS PROP HO 04 16 4/91 PREM ALARM/FIRE PROT NEW HOME CREDIT TILE ROOF CREDIT DEDUCTIBLE $1000 AHHO-10 11/04 CA INS GUARANTEE ASN AHHO-50 11/04 MOLD EXCLUSION AHHO-7 11/04 CA HOMEOWNERS ENDMNT AHHO-9 11/04 LENDERS LOSS PAY END HO 01 04 8/99 SPEC PROVISIONS CA HO 24 90 1/93 WORKERS COMPENSATION PNBIC 11/04 PRIVACY NOTICE SP 019 12/04 SIGNATURE PAGE UG 105C 5/97 CONSUMER AFFAIRS UG 112A 7/94 INSURANCE DISCLOSURE CA PHMITVB 11/04 DWELLNG LIMIT NOTICE ** IMPORTANT ** POLICY DOES NOT PROVIDE EARTHQUAKE COVERAGE AND FORMS: PREMIUM $52 $10CR $89CR $16CR $89CR OCC: PRIMARY PGM: ELITE TERR: 050 BUILT: 2001 FRAME PRT CLS: 003 * CONTINUED * Date Issued: 12/15/04 IN~IIRFn 1 COPY Balboa Insurance Company Processing Center P.O. Box 85087, San Diego, CA 92186-5087 D-BILL: WELLS FARGO HOME MORT. INC ADDITIONAL INFORMATION PAGE: 2 GA: 1 ARROWHEAD GENERAL INSURANCE AGENCY 6055 LUSK BLVD SAN DIEGO, CA 92121 PRODUCER: 154104 (888) 395 -12 00 INSURANCE COUNSELORS, INC. A DIVISION OF GEICO DIRECT ONE GEICO BLVD. FREDERICKSBURG, VA 22412 LOCATION (if different from Insured address) NAMED INSURED AND ADDRESS JAIME CASABAR 5703 SUMMER CYPRESS DRIVE BAKERSFIELD, CA 93313 COUNTY: KERN POLICY NO: BH02000008 Policy Period: 1/30/2005 to 1/30/2006 HOMEOWNERS DECLARATIONS 12:01 A.M. Standard Time at the Address of the Named Insured as Stated Herein. 1ST LOAN NO. 708-0187178843 MTG WELLS FARGO HOME MORTGAGE PO BOX 6850 ISAOA SPRINGFIELD, OH 45501 * END OF POLICY DECLARATIONS * Date Issued: 12/15/04 INSURED 1 COPY s or; +.w N -_. ::. '?~o~ \-\-~~~\S w~\.. 10' 1"\10 t\ ;:i FILO~ 'S ,oe-wM.-\<. F\<J,.J;; \4-'t~ 'i. LF-3 ~+ Il--~ \Ratb'Se:-D CJ:a'~r-J, '\ Q,LCC'(::: I' \u "'l..\. - ~ I-\-llJ-l ": ~rj~ i /' !q~f !lij . t I I I I I I , t~ i3~ t ! t, j l I I f--- - ---~ l.lJ V 't w l~ 1: ~-.x. 2 .5J 3 f ',J) t ~ \f) :J Ql ,-7' I~-~-t; ()) c :r: >- rt1 f1 (/I ~ ?- Co/ e; ~ b~\Jt"" '5\ D\; CJ-J~ \-\""- , - (e (U$S''-( ~ ~ ~ E ~' S7o~ ~ \ i ~DSc.A"e: t.; ~SE.H..e-fJT t.. 3~-.\- Te;-"\:'>TING &.~ ~ ~\.. - c;. <O\..oG~ -'\\2_______ ~ - -r----~ .. ._- -------.,------.-- I-I-~ ~ ~ 'C~\~<o~ ~JJ..~~ ~ 4 -u (PO' ~-/o- Os PI/- SYM...~~ c.-,(~S.5 (p~~lG '.D~\J~v.J~'( ~\QtlJJj::I...\.....~ ~\Jt---\.~ 'E o o o 1ft 'J. x ~ (\) C'(~\Z..€S5 \)\L. ~ T 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: ...J~ \J\..~ CASA.. 'bAR 57D~ Su-W\VV\e..'r ~ ~Y--€.SS 1)" "6A~. ~ ~6'~ (o~\ - 8'35 - ~b 7 2. Nature or description ofthe encroachment for which this application is made: '\0 ~W-'E AN. \D..\~,I J.J (p LUoo ()~ ~ W l~ F\ <:..E.\-o\..~t-S:.\ ~w...~ eu J:\..\...\.... D\..:DC..~ wi\-\A. \)..) \ \...-\.... ~ ~ \) \ \.... \ .(l \~ ~\-'I... '5\~lt..')h.\....~", C~L- 331-38971 3. Location of the proposed encroachment: c..o~~~ at=- ~~\--\"""~ -:::,,,~ ~ tt, ~~ '\)'\(. 4. Period of time for which the encroachment is to be maintained: L..\ \=-~ \\U\,'t: OF- ~k.b:. Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless City, its officers, agents and employees against any and allliabihty, 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 !illQ!! the revocation thereofby 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 ot 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: 't'\P~\(Of\\;,~ \f>\j)()~L~ '- ~~()p.. \~~C.t; U04v~'( ~ 'be:>u, 'OC:0 ~~""" U~~\ l..-I. \'f Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Date: .:5".-() ~- as- RepresentatIve) PERi"1IT 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 SAtlVlE IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PlJBLlC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (DENIED). SAID PERMIT SHALL EXPIRE Date: No. ~'\<;'Fn.in= 4 '7 . I,. . . ENCROACHMENT PERMIT INSURANCE REQUIREMENTS I) Type and Amount of Insurance Coverage for ~ installation or construction 1) for residences Homeowners coverage in an amount of at least $300,000 2) for businesses Commercial General Liability coverage. in an amount of at least $500,000 II) Additional Insured Verbiage The City of Bakersfield, its mayor, council, emplovees, agents and volunteers are added as \i-..\,")"\-fI.U-A. "ON. {) F c..~t:1'otT ~ l.oc.t:: wA-l.L- . additional insureds with respects to . p....~ 57D~ SUK.\'-.tl::;~ c..'t'~fZ.lfSS D(lL. (l.e. the installation ofa chain link fence at 1501 Truxtun Ave.). -------,--- - 2 ,]' CITY O~ 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. 5\.) \-'\.\-lv'C~ <b~\Z-\ No. 6:' (Street for puposed encroachment) of57o~ Su.k.~lC~ ~'.fLS~ 'b'r t (Address of purpo d encroachment) SIGNED: 1) Name: Address: 2) Name: Address: 3) Name: Address: 4) Name: Address: 5) Name: Address: 6) Name: Address: UorHPL ~fi?g.~lJ cn/f)() ~)M"'QY GJf w;q\ ,t>>-. WltJ..t-~ It.. V/5'/~ .-1(" /1 .5'(7 M M Ef'. .::J r J'R E .5 9'.f ~QA~~ ~6 ,[f~~~ '<::,,,(~o\ ~{)?_J1-11l] I~ , ~-~-: ,.-' '- J (g \ ~ C:;n/V) I!V\~ ~)' p ~ r ~ CV; 5 [ (efT> n'{;j f I fl(1)f-CUA'o b-11/J'lItnVtlf~ CJflf'tcfJ !J1'1'~ 5700 570a SU-H..\"'\.~R c....'-<PRE.~S S-71\ S7D~ ll\Wu~l) epee ~:r i~ \JIfJ Bv: jl\.\~~ C~f\'OA~ (Owners Name) Phone: 66 \ -- ?3S""'- 8gb 7 Date: S- ~ -oS- : S:...- n -- CJ .;- Date:' .,L.. Date: 5- ;t - 65 Date: D -- 2- c:> ~ Date: 5);;')0 ~ I , Date: 6')'2/ aj / ! 5~O~ bt.o\'l