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HomeMy WebLinkAbout04-30000039 ENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN A VB BAKERSFIELD CA 93301 (661) 326-3724 ~~\/ :3i)\~ 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 ~; MEZA MAlLO L 1009 HACIENDA DR BAKERSFIELD OWNER/BUILDER CA 93307 BAKERSFIELD CA 93301 ----------------------------------------- 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 ----------------------------------------------------- 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 rI/tI.J' . ~ >(- J1,4lj()<A{~'2A ~ 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 ------ 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 ~ ----_/ ~ . - 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 ___m _ m - - ., ,111 v( // ~ ju(e2-~ . !- !.' LO 0 Lit (/l.( r( cI1dtL.l2~ . 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'-1'~ d ~ -- I I ~. . / C , I ~ ---~I ---- I I -. \ ' I .- \ I ,---- ---_._~--------~ I ~/ 'i.~ ~ l"I A 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 I. I~>:" , I I " /' / :~ II h . 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: fl1~ ~ tJ - _~/fl. ' PU /flu · , 6) Name: Address: )( X 1:\ .-- 1 _?-, \. _ I' ,~ '._ , >\~c,,' , \ Bv: A1 ;; JJ () - J/J{ f. --z. /) , (Owners Name) Phone: rZl c;,c.z, 7~.2{ Date;t-/l,-' D J}- 11 Date: Date: 7\ Date: t ) Date:1-~~ f,;b01J ~ Date: I ~! ~I ;J ~ o \ .t j'l B ~. 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 ~.~--~-=--.=::::::-- \- ;)~ \..M2... Cln-b 1\ ) ~~~J~ ",'.-..." -..,. I' f ~! ~) !.\ ~ -------- /,. /~~ ,~~ /~ ~- '-~" ",;;,;"'~J/' . /'" ~~'I .' F. , '---...::. ~ . - 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. rz.. /1 7/lJ r; eJ.f::- . f!;t1- S:\PERMITS\ENCROACH\TRAFFIC\1009 Hacienda Dr.doc f ;,frO,!) :0,\ =.. A r- ~ ~ . - 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