HomeMy WebLinkAbout04-30000056
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
BAKERSFIELD CA 93301
(661) 326-3724
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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.
Application Number . . 04-30000056 Date 7/26/04
pin number . . . . . . .372456
Property Address . . . 1905 LE MAY AVE
Application description PW~- ENCROACHMENT PERMIT
Owner
Contractor
LOPEZ ANDRES J & DE JIMENEZ MA
1905 LE MAY AV
BAKERSFIELD CA 93304
(661) 831-3365
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee
Issue Date . . .
ENCROACHMENT PERMIT
250217
150.00
7/26/04
valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
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Special Notes and Comments
CONSTRUCTION OF A 4' TALL WROUGHT IRON
AND BRICK FENCE IN CITY ROW BEHIND THE
SIDEWALK
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
. pe~t at any time~. I . /;J;l
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Signature of App cant (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 (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, agen~nd
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.
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,I have read and acknowledge the above.
,IJ.;I Appiicant' s Initialsi//
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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: September 5, 2004
SUBJECT: Encroachment Permit Application for 4' wrought iron fence w/concrete block
pilasters at back of sidewalk.
Andres J. Lopez & Maria De Jimenez
1905 Le May Avenue
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of 4' wrought iron fence w/concrete block pilasters at back of sidewalk. The site is
located at 1905 Le May Avenue.
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.
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APPLICATION FOR ENCROACHMENT PERl,nT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNL\:
Pursuant to th~ pro/visions ~f ~hapter 12.20 of the Bakersf:eld Municipal ,Code, the undersign~d applies for a permit
toplace, erect~ use and mamtam an encroachment on publJc property or nght-of-way as therem defined.
1. Full name of applicant and complete address including phone number: -A V\~(' e '5 .J~ me:.m ~ 7 Lope~
\Qc'5 LPM6..'f A.:IR~~~.Qi~lc\ ,c.A. ~~~c4 ~OCo~\ - ~7:>le'?J
2. Nature or description of the encr.oachment for whi h this application is made:
~ t:{ f/L d s .-/e-e -eil1l'.e .
L el'VtAY A LI{ -
~Sf' /t41d +2fl/J} /'1
Ht Irk
3. Location of the proposed encroachment: / 9 O~
:s e ~ j) V--~ 0 r1 d /Jro ..f<f7 ~ ~ r)-f
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4. Period of time for which the encroachment is to be maintained:
IJ S ICJ?j - .::r;-- tiw-r'- ~e, ~.s C.
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold 'hannIess City, its
officers, agents and employees against any and allliabihty, 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
life of said encr<;>achrnent or until. such time that this pennit is revoked. . .'
Applicant further agrees that upon the expiration of the permit for which this application is made, if granted, or. YQQ!!
the revocation thereofbv the Cltv enlIineer. aoolicant will at his own cost and exoense remove the same from the oub.1ic
prooe~ or right .of w~y w:here the same is loca!ed, and r~store s~d public prop~rty or right .of way to the condition
as near y as that 10 which It was before the placmg, erectIon, mamtenance or eXIstence or 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 permit at any time.
Date:
Signature of Apphcant (Owner or Representatlve)
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGA nON OF THE FACTS STATED IN THE
FOREGOING APPLICATION AJ.'iD FIND ffi.\T THE MAINTENA~CE OF SAID ENCROACHMENT (1) WILL
(NOT) SUBSTANTLULY INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO
BE LOCATED AND (1) Wll..L (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GRA,;~TED) (DE~IED). SAID PERJ.'IIT SHALL EXPIRE
Date:
, SIgnature of City EngIneer
No.
, /
! . "': 61Tv ~~, BAKERSFIELD
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,:'; DEPART~ENT OF PUBLIC WORKS
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TO WHOM IT MAY CONCERN:
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We the undersigned, have no objection to the construction of a fence beside the
sidewalk within the public right of way. '
[13- MA~ AVE.
(Street for puposed encroachment)
of ,qat;. L&MfP;/ AVE...
--- ~. (Address of purposed encroachment)
SIGNED: .
1) Name: lhlln no n A n as
Address: d 19 . FrtmMlf . )f ·
2) Name: . .' Lo;~ .lJ~ axLt/1
Address: /91Jif J.~MAitF/tJ.
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. 3) Name: ~. (; ex f L-lnf-e,c;-f1
Address: ..i9 6 g. L €.- . "1\8\ 'f A- c.> .~
4) Name: /Yl...e I rf Ii /e ()
Address: /C/g.,. A. of 111A-y
5) Name: 1?J/'~'J4/d. LA,)e~r1.er
Address: . /"$ /t . . L ~ /777 4&J.e
6) Name:, ~?2~At# . L0/4?;
Address: 1<1/s ~ E /Vf.4i > ~ t/ FJ
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Bv: A-rlrlyes -;)/f;-e/l/ec. Lo~Z
(Owners Name)
Phone: CGt,t) <t3/-330S-
Date:?l dS~
Date: 7-.;<s:.D i
Date: 7":' )...5- 0 V
Date: 7 --?- r- ~o <f
Date: 7- '}.)"- &1
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Agents Gary L Been
Name 2822 F St Ste 1
& Address: Bakersfield CA 93301-1800
Phone Number ( 661 ) 322-9502
AREA CODe
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Mortgagee
Name and
Address
Named
insured
Address
Location
of Premises
(If other
than shown
above)
25-1460 10.03
EVIDENCE OF INSURANCE FOR MORTGAGEE INTERESTS
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Coverage afforded by the poliCY is provided by:
Fire Insurance 0 Mid- Century
Exchange Insurance Company
The Company designated on the reverse side as number
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Farmers
Insurance Exchange
CITIMORTGAGE INC
lSAOA/ATIMA
PO BOX 7706
SPRINGFillW OH 45501-7706
Loan Number. 0001134880
Policy Number: 918479500
Second Mortgagee:
ANDRES JIMENEZ
1905 LEMAY AVE
BAKERSFIELD
CA 93304
Loan Number:
This fonn is not the contract of insurance. It is a memorandum of coverage limited to mortgagee interests and applicable to the dwelling
building or Mobile Home at the location above. The provisions of the policy will prevail in all respects.
Inception Date 04/28/2003
Renewal Date 10/12/2004
Expiration Date (If "none :' the policy will be renewed automatically,
subject to the forms then current, for each succeeding policy period, and is subject to termination by this company only after written notice to
the Insured, to the Mortgagee, and to all other interested parties.)
POUCV TYPE:
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EXAMPLES OF TYPES OF POLICIES
ACCIDENTAL DIRECT PHYSICAL LOSS ____ Special Form Homeowner- Protector Plus Homeowner; Landlords Protector;
(Special Form) Townhouse Owner; HO-B; DF-3; DP-3; Special Form Mobile Homeowners
BROAD (Broad Form)
Condominium Owner; DF-2; DP-2, Additional Extended
Coverage
FIRE, E.C. (Basic Form) _________________ Basic Homeowner; Actual Cost Basic; HD-A; DF-1; DP-1; Basic Form
o v & MM Mobile Homeowner
POUCV LIMIT OF LIABILITY: Dwelling Building or Mobile Home Protection $ 138,000.00
Deductible Applicable to Dwelling or Mobile Home $1000
Ii2I All Insured Perils
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T alai Annual Policy Premium
$ 444.44
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Please Remit
o Paid
Fonns and Endorsements Applicable at Inception ~ Loss of Use 0 Extended Replacement Cost
Includes coverage up to 125% of the dwelling coverage.
li2l 438BFUNS 542,CAOI5A1STED, E42071STED, E6044A3RDED, E60481STED, E61791STED, E6268A1STED
H61061ST ED, H6114A 2ND ED, H6221A 1ST ED, )6063A 1ST ED, S9072 1ST ED, 258531103 ED,
(/JJf9~
Authorized Representative
Vice President
Trtle
07/26/2004
Date
95
51.
07 355
Cisl. Agl.
.
FARMERS.
Copy Disbibutlon: Mortgagee's Copy, MOItgagee's Invoice Copy, Service Center Copy and Agent's Copy
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~RetutTI'to Se,~t c h "
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Undet.v....r iling Inquir y
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~1I !1ouseh_old I Insured I Dwelling I Replacement Cost I Coverage
1905 LEMAY AVE
; Home ~ummary
Bound: Yes -D,I Effective Date: 07/26/20041
'1IIllmIDllI.."f~iTilr'il select action D
:pri~~.:y Insured ., ... Residence Address
I ANDRES JIMENEZ: 1905 LEMAY AVE,
BAKERSFIELD, CA 93304
I Active
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... Phone
661-831-3365
Household Number
0508046767
(1)1
: Policy
918479500
95-07-355
Renewal Date:
10/12/2004
Inception Date:
10/12/1999
Inforce Date:
10/12/1999
Homeowners
SPECIAL
FORM/TOWNHOUSE
SPECIAL, 4TH edition
OWNER OCCUPIED
(PRIMARY RES.)
: se~ect- acti~~ _ '_ _ -'&t~;J iii
Property
Address
Rating
:: Coverage
DWELLING : 138000
PERS LIABILITY :
300000
GUEST MEDICAL:
1000
All Perils: 1000
More Coveraqes
: Details
BAKERSFIELD,
CA 93304
1905 LEMAY AVE, FIRE INSURANCE
EXCHANGE
PPC: 03
Year Built: 1969
Replacement Cost:
138000
Opt Out Status:
Mailed Date: 08/19/2003
Status Date:
Who Pa}:'s: MORTGAGEE
Endorsements
Security Devices
Discounts & Surcharqes
Mortgagee
print center action D'rim
; Pay Plan
Full Pay
Full Term
Premium:
444.44
l;~n~~
;-918479500 i I
(1)\
, Name : Age
ANDRES JIMENEZ 43
select action 1--1 II
~~ "TDate -of Birth --
08/01/1960
" Relationship to Primary Insured
SELF
Details
Umletv'it rtlng Imll.lIt v
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~'F,'~~,un tg,::~8atch
07/26/2004 Il!li @ 2002 Farmers Insurance n All Rights Reserved. Back to Top
Household No: 0508046767 2004,07.00,059(V5) Trans Time: 2004-07-26-13.46.49.741298
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: August 15, 2004
SUBJECT: Encroachment Permit Application for 1905 Le May Avenue
Andres J. Lopez & Maria De Jimenez
4' concrete block pilaster with wrought iron panels
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: August 15, 2004
SUBJECT: Encroachment Permit Application for 1905 Le May Avenue
Andres J. Lopez & Maria De Jimenez
4' concrete block pilaster with wrought iron panels.
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Please review the attached encroachment permit and return to me at your earliest convenience.
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