HomeMy WebLinkAbout05-30000101
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 . . . . . .
Application type description
05-30000101 Date
101 EL CERRITO DR
PW - ENCROACHMENT PERMIT
9/29/05
Owner
Contractor
WILLIAMS JOSHUA A
101 EL CERRITO DR
BAKERSFIELD
( 66) 638-0208
OWNER/BUILDER
CA 93305
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
448845
150.00
9/29/05
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
FIVE FOOT BLOCK WALL ON SOUTH SIDE OF
PROPERTY (MONTE VISTA DR.)
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.
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-Si~ature 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 (N~~ /~UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFO~D) (DENIED). Said permit shall expire on date stated above.
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Signature of Ci~ngineer -
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
4
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: October 10,2005
SUBJECT: Encroachment Permit Application for 101 EI Cerrito.
Williams Joshua A.
5' block wall on south side of Monte Vista
Property is on north side of Monte Vista
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of a 5 ft. block wall on the south side of Monte Vista. The site is located at 101 EI
Cerrito.
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\101 EI Cerrito.doc
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Bi\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: October 3,2005
SUBJECT: Encroachment Permit Application for 101 EI Cerrito Dr.
Name of Applicant Williams Joshua A ~
Description of encroachment 5' block wall on southside of~ _~~1"'-1
Dr. ' f.Jo(l..-(jf~I(Je oF" MOAJ"1'fff "g-p1
Please review the attached encroachment permit and return to me at your earliest convenience.
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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 3,2005
SUBJECT: Encroachment Permit Application for 101 EI Cerrito Dr.
Name of Applicant Williams Joshua A.
Description of encroachment. 5' block wall on southside of property Monte
Vista Dr.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\101 EI Cerrito Dr..doc
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APPLICATION FOR ENCROACHMENT PER.\1IT
TO THE CITY ENGINEER OF THE CIlY OF BAKERSFIELD, CALIFOR:.'lH.:
Pursuant to the provisions of Chapter 12,20 of the Bakersfield Municipal Code, the undersigned applies for a permit
to place, ere~t, use and maintain an encro~c~ent on public property .or righ~~a th~e~f~'j J t,A.rvL ~
1, Full name of aoolicant and comolete address including phone nwnb~r: , U J ) I ) 711n..S
101 .z / CerY'; ~t) pI": -E:J Ken'~' j ~.. Cf3"3C~ !(,6V 1.43$, D;).Df?
2, Nature or description of the encroachment for which this application is made: Au t' ~~l).~'..
g) ~ ~ 'K w..d ( tJ N >' ov +-l ~J}-e,,' ( ~ ~ r+'"f (' J11~Nk U~, S.~ll Dr )
~~,sP' -e~. .~ +Ia'~~ J. PZ-::J.p-c-+o~ J..~ 1:e. ~ fs .. . .... . .. .
3. LocatioD.Oftheproposedencroac~ent: 0/\/ Soui-l.., ~/j.{' '; k-llTIEJ (!.f.flvifa
0...- ~ l (!)~ rl1(!)J~ Ll"5{Lp~- ...
4, Period of time ~or which the encroachment is to be maintained: f p Y\ 1'1::1 .:::J ^...rJ-e~
. .
Ap'plicant agrees that if this application is granted, ap,pIicant 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 9fthem. 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 encr~achment or l:Ultil such time that this permit is revoked, . . .'.
. ..
Applicant~rther agre~s that upon.th~ expiratio!l ofthe,pe~t for which this application is made, if granted, or.!mgn
the revocatIon thereofbv the Cltv enemeer, aoohcant wlll at his own cost and exoense remove the same from the t)u~lic
prooerty or right of way where the same is located, and restore said public property or ri2ht of way to the condition
as nearly as that in which it was before the placing, erection, maintenance or existence or said encroachment. .
'. .
Applicant further agrees to obtain ana keep a111iability 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 evideI:J.cing 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:
.~ .,
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I HEREBY CERTIFY THAT I HAVE MADEA."l INVESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION Ai~D FIND ffi-\T THE MAlNTENA.~CE OF SAID ENCROACHMENT (l) WILL
(NOT) stJBST.o\J."nIALL Y INTERFERE WITH THE USE OF THE Pf.TBLlC PLACE WHERE THE SAME IS TO
BE LOCATED AND (2) WILL (N0'l) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID MPLICATION IS THEREFORE (GRA.'iTED) (DE~IED). SAID PERMIT SHALL EXPIRE
Date:
No,
Signature of City Engineer
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. CITY O~ BAKERSFIELD
. DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
We the undersigned . have no objection to the construction at a fence beside the
sidewalk within the public right of way,
/41d' )Vt-~ ~v-~
(Street for puposed encroachment)
of It) {. Sf LeY' ~I'+O ~I/'- .
(Address of purposed encroachment)
SIGNED:
1) Name: WC~ J11l)hSd1DDHlChecvu Date: ql:li'W!J
Address: :J8 fJ/j lJ}<<llITJ mllt- D r. LiYi'lCff)lJ;lfLr ._
2) Name: .!). to i?D S A-S- tr A~ Date: Cf -ZS?> -OB
Mdrcss: '~f-C:J+. H3'(J5'!.jb~
. 3) Name: _f~~(lrv _ .' Date: q /"?~~jvS
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Address: 12-S. &1 Cbn Tv n::=l
4) Name: o~ Pre<<!iLu'/J( Date:
Address: .. .~~:~ ~I .
5} Name: ., ~/L/ .
Address: 1/2./
~Name:
Address:
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SE~TEMBER 28, 2005
Fire Policy Statu5
Ph. (000) 000-0000
GENL Policy: 81-WL-3906-7 G Yr iS5d: 20
Xref: YRs w.i th tH': 2
WILLI~~S, JOSHUA
10'1 ~;1. CI~RRITO Dr\
BAKERSFTF',T,!) CA 93305-1:301
'rerm: CONT
Renew date: 3AN-22-06
1,01\0.00 WritteIl date: JAN-~2-03
Type: HO - HOMEOWNERS
Coveraqp. inlor'mat ion
A-DWELT.TNG 151500
!lWI.ali, EXT 1 J1~O
R-P~RS ~~o~ Jl~B'~
C-LOSS USl': ACT LOSS
P r'cmi urn :
Arnuunl d~le: Sl!'PP
L-PER5 LlALl lUOQ.Q..Q., ~ Dute due: SfPP
DMG TO ?m)l'-.-- .'--t>OO Rill tc;= ~FPP
M-M~D/PERS 1000
Prev ri:ik:
145,900
prev pn~rn: 992
~WPP ..wcL.: 0393-4098-12
Dcducti b 1~:-l upplled: 500 AIoIJ PER
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INC()l, (45t. .'"0 t\ ~/O(x) Cfn:.(rlv
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Me~~agcs:
Roof
Roof typ~: wn ~HK
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AGE:NI
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'{car built: 19b2
Zone: 40
."Jllh zone: 01
E'amll iF.~: 01
Const.,..: FRAME
Home alcrL: ~F. DB SA
RilUllY claims: 00
ct~an slaLa: O]-)~-OO
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AG~NT C
AGENT: F784/1
SEPTEMBER 28, 2005
PCLICY#: 87-WL-3906-7 G
WILL1AMS, JOSHUA
101 EL CRRRI'l'O LJ}{
BAKERSFIEl,D, CA 93305-1301
HO - HOMEOWNI':R~
__-.--.------__ PHONE~: ( ) 000-000-0
\f.;: ~:~:.:. (O~~~~~~~) _~~;::_~:~:~~~~~~~~~~:~~~'~~~~~-~~::.~~~:~:..-~~::!: 03934098 t
,H'DEDUCTTALE: AND COVERAGF. AMOUNT CHl\Nr;F:s'H
COVeri.lgc8 ;
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