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HomeMy WebLinkAbout04-30000056 CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN A VB BAKERSFIELD CA 93301 (661) 326-3724 lL ~ ?d(07 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 -------------------------------------------- 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 ~ ~ /4.,., oJy e.s (' (!,tIeiZ 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. ~- Signature of City Engineer " Additional Terms on the Back " -...'i ~-- ..\ .-- 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. " "., ,I have read and acknowledge the above. ,IJ.;I Appiicant' s Initialsi// '-p -........--- ./,,"-..._- :j 1'J-f7 j ~1'041" 'i! ,f'; ~ . ~ 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. .., c.::.----''- S:\PERMITS\ENCROACH\04-05 Permits\1905 Le May Ave.doc oL/ - S G ~.i'I\. i :;: . {<_51 ~ 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 I 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 I '.. I A- ,:'; DEPART~ENT OF PUBLIC WORKS I!! ~' I TO WHOM IT MAY CONCERN: I ;) "::> 0 '3 ~?-? 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. . .., . 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 ij 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 ;-: Oate:7-7)6 - oc( 'C)'Q II I' j' ~CJ) ~....\0 Q ., 4' , I '- qot/ 5 13- ? ' -I ;:; ", ' L{/ ~.~ ~-~.~. T ~ ~ 1 1)("~W"'1 ._-'~ ',. {i;'::::::J , .IC::l1 I I ~ . .lE!!!'!I. ~ I ,- I' .1 -../ . r L I I I I". j I I II . I I .., I L) .5 Id e..'_w_C\\~ !-- c; ,I c..~. - -- ' ..'; ;OM:>' ,.. ., ...- -t'" -, 'l , ~' , . "c '''..~ I ~;P ~-=: Agents Gary L Been Name 2822 F St Ste 1 & Address: Bakersfield CA 93301-1800 Phone Number ( 661 ) 322-9502 AREA CODe t" ,. j,''- ",: - ~~ . 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 i?I o 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 o 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: Ii2l o o 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 o T alai Annual Policy Premium $ 444.44 o 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 ;:, .. i'';;..' -:.~ .-:- ~.- .. \. ... ,,// ~RetutTI'to Se,~t c h " ~........~-~. ~~ -- Undet.v....r iling Inquir y -- ~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 ll~~ I ... 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 I I ! .... - ~'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 ,T - -~ ~ . - 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. jf S:\PERMITS\ENCROACH\lNSURANC\1905 Lemay Ave.doc ff'., i? ~. \ . ~ ~ . 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. - Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\TRAFFIC\1905 Le May Ave,doc a/1J;/IJ/r (J./c-, ~