HomeMy WebLinkAbout06-30000017
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ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
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 Digitsl :
Application type description
06-30000017 Date
7500 INDIAN GULCH ST MD
355-251-01-00-0
PW - ENCROACHMENT PERMIT
5/09/06
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Owner
Contractor
SOTO MARCO L
7500 INDIAN GULCH ST
BAKERSFIELD CA 93313
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
543116
150.00
5/09/06
valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
6' HIGH BLOCK WALL ALONG BACK OF
SIDEWALK
Fee summary Charged Paid Credit.ed 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.
JVt ~rtco
Print Name
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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) 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
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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.
S-Applicant's Initials
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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:
May 16, 2006
SUBJECT: Encroachment Permit Application for: 7500 Indian Gulch St.
Name of Applicant: Soto Marco L.
Description of Encroachment: 6' high block wall along back of sidewalk.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to build a 6' block wall along back of sidewalk.
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\7500 Indian Gulch St..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: May 16, 2006
SUBJECT: Encroachment Permit Application for: 7500 Indian Gulch
Name of Applicant: Soto Marco L.
Description of Encroachment: 6' high block wall along back of sidewalk
Please review the attached encroachment permit and return to me at your earliest convenience.
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
TO: Pat Flaherty, Risk Manager
DATE: May 11, 2006
SUBJECT: Encroachment Permit Application for: 7500 Indian Gulch St.
Name of Applicant: Soto Marco L.
Description of Encroachment:
6' high block wall along back of sidewalk
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\_lnsurance memo. doc
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Ci~ of Bakersfield
fJi vUSTOMER RECEIPT ~i*
Ouer: VDAVIS Type: OC Drawer: 1
Date: 5/09/0& 01 , Receipt no: 114880
Des'::r~tiQn Quantity Amount.
06 30000017
BP BUILDING PERMITS
'. 1.ee $150.00
Tender detail
CK CHECK p') $150.010 ;,'.
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iotal tendered $150.00
Total paYBlent $150.00 .-;;
Trans date: 5/09/06 Time: 9:45:41 ..
PLEASE Bf A RESPONSIBLE PET OWNER
HAVE YOUR PETS SPAYED OR NEUTERED
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\ t$.'oi'f.~&j APPLICATION FOR ENCROACHMENT PE~\1IT
. TO THE CITY ENGINEER OF THE'CITY OF BAKERSFIELD, CALIFORNL-\:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a pennit
to place, erect, use and main~ain an encroachment on public property or right-of-way as therein defined. ,
, 1. Full name of aoolicant and comolete address includinj;tphone nwnb~r: '. ( (6 t) ,~. ,. Lf -12'1 ~ .J '
"" ~~ L. Sd>'To /~O ~ /"'0),4,...) GoJ1-u4 ST. ~ce/t-jn{;--"I.O ~ 11"3 J:J
2. Nature or description of the encroachment for which this application is made: . _
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~ , feeT r+. l f.{ Q, ~UL u.~ A-uJ;V(; ~ c1fZ- S')(:)t;-W A'L. K. ' ,
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3. Location of the proposed cncroaclunent:
CJi--U4 ST .
4. Period of time for ~hich the encroachment is to be maintained: ~ .€I'l.. M A-: ~ Fre-
.. .o.f oJ.
t! 0 II ",./ C:-A... ~,6C'U) l'ml"-'M 1 d 1 ~ ~ I 'VQ f1'n/ .
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 aIlliablhtr. claims, actions, causes of action or demands, whatsoever
against them, or any pfthem, 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
l,ife of.said encr?ac~ent or ~til such time that this permit is ~ev~ked. ,:". .,... .
Applicant' t;urther agrees that upon.th~ expiratio~ of the. p~t [or which this application is made, if granted, or 'Yl2$!
the revocatIOn thereofbv the Cltv enerneer. apollcant win at his own cost and expense remove the same from the 'Oub,lic
prooertv or right of way where the same is located, and restore said public property or riWlt of way to the condition
as nearly as that in which it was before the placing, erection, maintenance or existence o! said encroachment. .
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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 evideI:1cing sufficient coverage for bodily injury or property damage liability or both and required
endorsements evidencing the insurance required. The type(s} and amount(s) ofinsurance'covcrage is:
.dMFOo,-V N:'E/L- - ,:soe>, ([Joe' ,'..,., ,,' -- -
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Applicant acknowledges the right of the City Engineer, pursuantto.Balsersfielci.Municipal.Cgde ..chWJcy1-2.20 to
revoke the pmnizany timeo_ .. ./
Date: S":' ;;'1 I' ~/
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FER."IIT
I HEREBY CERTIFY THAT I HAVE MADE A.,'l INVESTIGA nON OF THE FACTS 5T A TED L"'t THE
FOREGOING APPLICATION Ai'lD FIND THAT THE MAINTENAo~CE OF SAID ENCROACHMENi (1) WILL
(NOT) SUBST~vrIALLY INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO
BE LOCATED A"ID (Z) WILL (NOn CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GRA.'lTED) (DE~IED). SAI:D PERMIT SHALL EXPIRE
Date:
SIgnature of City Engineer
No.
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. CITY O~ BAKERSFIELD
DEPARTMENT OF PUBLIC WOR~S
TO WHOM IT MAY CONCERN:
We the undersigned I have no objection to the construction of a fence beside the
sidewalk within the public right of way.
c"oU':> Co\J~.~ ' .
(Street for p posed encroachment)
Bv: III/#Z.c.l) L- 5C11-4
(Owners Name)
of '7 rDD 1fV7iJ1I4....t 6\J1....<:...Gf >?J, .
(Address of purposed encroachment)
Phone: C. (6'-7) G (:, l,f - (l f( 7
SIGNED:
1) Name:
Address:
~.....,.-....
2) Name: .
Address:
. 3) Name:
Address:
4) Name:
Address:
5) Name:
Address:
Date: ,t:;- ~ o{,
6) Name:
Address:
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Continuation
Declarations
Named Insured
MARCO L. SOTO
7500 INDIAN GULCH ST
BAKERSFIELDCA 93313
It TRAVELERS
HOMEOWNERS POLICY
Your Agency's Name and Address
CALIFORNIA INS SPECIALISTS
PO BOX 9579
BAKERSFIELD, CA 93389
Your Policy Number:
Your Account Number:
977787711 633 1
977787711
For Policy Service Call: (661) 397-3944
For Claim Service Call: 1-800-CLAIM33
Policy Period
FROM: 10-27-05 To: 10-27-06 12:01 A.M.
STANDARD TIME AT THE RESIDENCE PREMISES
Location of Residence Premises
7500 INDIAN GULCH ST
BAKERSFIELD CA 93313
Section I . Property Coverages
Limits of
Liability
Premium
A - DWELLING
B - OTHER STRUCTURES
C - PERSONAL PROPERTY
D - LOSS OF USE
$ 263,000
26,300
184,100
78,900
$
538.00
INCL
INCL
INCL
Section II . Liability Coverages
-:-::-..
E - PERSONAL LIABILITY (BODILY INJURY AND
PROPERTY DAMAGE) EACH OCCURRENCE
F - MEDICAL PAYMENTS TO OTHERS-
EACH PERSON
300,000
$
33.00
INCL
Policy Forms and Endorsements
HO-3 CA (10-92)
HA-300 CA (04-04)
56494 CA (03-99)
56512 CA (07-05)
58273 (12-99)
HO-827 CA (07-02)
372-NS (11-50)
438BFU NS (05-42)
55769 (03-00)
Total Premium
Homeowners 3 Special Form
Special Provisions
Personal Property Replacement Cost
Additional Replacement Cost Protection
Additional Replacement Cost Protection Increased
Amount - Maximum Additional Amount of Insurance 50%
Limi ted Fungi Other Microbes or Rot
Remediation
Limit of Liability: $5,000
MOrtgagee Clause
Lenders Loss Payable Endorsement
Workers Compensation and Employers
Liability Insurance Endorsement
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PI..BSS' , .A7 47R/OWN5:l4 nFr:4J,:l
Continued on next page
Insured Copy
002800/00318 F311SAHT S826 08/07/0S
$
96.00
4.00
30.00
INCL
$
701.00
Page 1 of 2
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Your Premium Reflects the Following Credits or State Surcharges
Security Credit
-211.00
Policy Deductible: $ 1000.00 All perils insured against
In case of loss under section I, only that part of the loss over the stated
deductible is covered.
First Mortgagee
Second Mortgagee
COUNTRYWIDE HOME LOANS
I SAOA
PO BOX 961206
FORT WORTH TX 76161
LOAN NUMBER: 21436272
GOLDEN ONE CREDIT UNION
POBOX 15151
SACRAMENTO CA 95851
LOAN NUMBER: 1815199
Your Insurer: Travelers Property Casualty Insurance Company
One of The Travelers Property Casualty Companies
One Tower Square, Hartford, CT 06183
For Your Information
THIS POLICY INCLUDES LIMITED BUILDING CODE UPGRADE COVERAGE.
California Important Notice - Residential Property Insurance disclosure is
included. (IMP50029 CA)
Earthquake Coverage is not included in this policy.
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 of the labor and materials
in your area, and specific information that you have provided about your home.
Coverage for your home has been increased by 9.1% to more adequately reflect the
cost to rebuild your home. This adjustment was based on information provided by
Marshall & Swift/Boeckh, an independent firm specializing in construction and
consumer costs. If you need to adjust your limits further, or for any other policy
changes, please contact your insurance representative.
This is not a bill. The mortgagee will be billed separately for this policy.
Thank you for insuring with Travelers. We appreciate your business. If you
have any questions about your insurance, please contact your agent or
representative.
These declarations with policy provisions HO-3 CA (10-92) and any attached
endorsements form your Homeowners Insurance Policy. Please keep them with your
policy for future reference.
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Page 2 of 2
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