HomeMy WebLinkAbout04-30000039
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
BAKERSFIELD CA 93301
(661) 326-3724
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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 . . . . . 04-30000039 Date
pin number . . . . . . .198702
Property Address . . . 1009 HACIENDA DR
Application description PW - ENCROACHMENT PERMIT
2/05/04
Owner
Contractor
BD
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MEZA MAlLO L
1009 HACIENDA DR
BAKERSFIELD
OWNER/BUILDER
CA 93307
BAKERSFIELD
CA 93301
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Permit . . . . .
Additional desc .
phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
175984
150.00
2/05/04
valuation
o
Qty unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
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Special Notes and Comments
construct 4' high fence in front of
residence
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 150.00
Grand Total 150.00
150.00
150.00
.00
.00
.00
.00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
I permit at ~y time. ,L
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Signature of Appli~ant ( wner/Agent) PRnt Nam~
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACfS 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.
/2.--..
.
Signature of City Engineer
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Additional Terms on the Back
04 - 3 /
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.
IJ,:/ve read and acknowledge the above.
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:
February 18, 2004
SUBJECT:
Encroachment Permit Application for 4' concrete block wall w/pi/asters at 8' intervals
w/wrought iron panels, 5' behind curb.
Mai/o Meza
1009 Hacienda Drive
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of
4' concrete block wall w/pilasters at 8' intervals w/wrought iron panels,S' behind curb. The site is
located at 1009 Hacienda Drive.
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\03-04 Permits\I009 Hacienda Dr.doc
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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 pennit
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 includiog phone numher: ma f I 0 /Yh Z-tl
/{)Oq Jjt1(J(J1()0 f)tr.,/ 1blJler~fr~ld (!f Cfc~JOl-) ~(~d) o?/1--3~i-~
2., ~ature or description of the encroachment for which this application is made:
ilk rlJf1Jlvut!//t/(J ()+ af-eil1u ~7Jf(jk {he. (j/vJ-ezuQ/I
3. Location of the proposed encroachment: .I /JOVf /Jl'/ctI'-Ciflg.IQ D f.
. . .. 7!Jf11.ellr/;'-tlv! fj+ Cf53ol-
4. Period of time for which the encroachment is to be maintained: !) tAMe,)::" ') . Dr '1
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 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 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 mmn
the revocation thereofbv the City engineer. applicant will at his owncost and expense remove the same from the public
wopert~ or right of way where the same is located, and restore said public property or right of way to the condition
as near y as that in which it was before the placing, erection, maintenance 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:
f(J(lJUrj 1~suraYlc.e 7
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time. "\
Date:. f1,1Jft <~
Signa eo App lC wner or Representatlve)
PERMIT
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 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
Date:
No.
Slgnature of City Engmeer
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. CITY OF" BA,KERSFIELD
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.
I() ()q.1d-,4 L ~ d II. D 12-
(Street for puposed encroachment)
of
(Address of purposed encroachment)
SIGNED:
1) Name: 'fJlt- ~/I)uJ flkbjjwJltrr
Address: . . . .
2) Name: b.r:~, t.. $J
Address:
. 3) Name:
Address:
4) Name:
Address:
5) Name:
Address:
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6) Name:
Address:
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(Owners Name)
Phone: rZl c;,c.z, 7~.2{
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OFTIC1NS. . . . :
FRHl INS....
PROF ADDRSS.
PO L I ey n'.fFO
_ + EFF' DT. 02./05./04
HAILO LUIS MEZA
1009 HACIENDA DR
( 661 I 832 - 3276
BOUND: Y HOUSEHOLD#, 0585685846 P403 7SBN
AUTO#: 156598522
BAKERSFIELD CA 93307
DIFF MAIL. N UMB#/TYPE: ________
PLCY#/STS/UA/RE 90B155925 SOK N AGENT OF RECORD, 95-41-316
CO/FS/PT/PG/PC FI + HO SPF TOOl 04 PAY PLAN: SE ACCT#:
REN-DT/TY/RS 06/29104 + + MCNA#:
CEA FLCY#l:3TS
REP L.A,CEMENT CST
D I 5 C- 5 U R C H ,Z;., R G E S
COVERAGES
D\tJELLING
SEP STRUCTURES
PERSONAL PROP
LOSS OF USE
PERS LIABILITY
GUEST NEDlCAL
BLDG ORDINANCE
LOSS ASSESSHT
EXTEHDED..: N
AF NS HS ED
LIHITS
80,000
B,OOO
44,000
7:4,000
300,000 +
1,000
10 +
+
CONTENTS: N
NODIFIED: N
ROOF ACV: N
DEDUCTIBLES/BLOCKS
ALL PERILS 250 +
THEFT
ifJ &: H
DETAIL COVERAGES AMOUNT/QTY
ADDL PREMISES N
WATERCRAFT N
BUS PURSUITS-ON N
BUS PURSUIT-OFF N
BUS PURS EMPLOY N
PRS WCRFT/JT SK N
PROP OTHER RES N
FARM LIABILITY N
HORE AVAILABLE
r-IORE AVAIL-a.,BLE
Fl=HELP F7:=EX HELP F3=EXIT F4=PROMPT F5=REFRESH F8=SCRL FWD F9=DETAILS
F14=SUMMARY F17=TOGGLE FZO=VOID F21=SUSPEND FZ2=U/W(RESPI F23=U/W(ENDI
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 5,2004
SUBJECT: Encroachment Permit Application for 1009 Hacienda Drive.
Mailo L. Meza
4' concrete block wall wi pilasters @ 8' intervals wi wrought iron panels 5' behind
curb.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\1009 Hacienda Dr.doc
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 5,2004
SUBJECT: Encroachment Permit Application for 1009 Hacienda Drive.
Mailo L. Meza
4' c.oncrete block wall wi pilasters @ 8' intervals wi wrought iron panels 5' behind
.curb.
Please review the attached encroachment permit and return to me at your earliest convenience.
fl
S:\PERMITS\ENCROACH\INSURANC\1009 Hacienda Dr.doc