HomeMy WebLinkAbout07-30000021
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 . . . . . .
Application type description
07-30000021 Date
7100 AZTEC WAY MD
PW - ENCROACHMENT PERMIT
5/23/07
Owner
Contractor
VILLARREAL BENNY F & MARIA 0
71 0 0 AZTEC WY
BAKERSFIELD CA 93308
OWNER
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Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee
Issue Date
ENCROACHMENT PERMIT
681528
200.00
5/23/07 Valuation
o
Qty Unit Charge Per
1.00 200.0000 EA PW ENCROACHMENT
Extension
200.00
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Special Notes and Comments
Replace wood fence with brick wall
on side yard on Tucker St.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 200.00 200.00 .00 .00
Grand Total 200.00 200.00 .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. ,
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Signature of Applicant (Owner/Agent)
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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
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.
~Applicant's Initials
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B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian p, Shaw, Civil Engineer IV, Subdivisions
DATE: June 1,2007
SUBJECT: Encroachment Permit Application for: 7100 Aztec Way
Name of Applicant: Villarreal Benny F. Maria 0.
Description of Encroachment: Replace 6' wood fence with 6' brick behind
sidewalk on Tucker St.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to build a 6' brick wall behind 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\7100 Aztec Way.doc
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B ~~ K E R S F I E L I)
PUBLIC WORKS DEPARTMENT
MEMORANDUM,
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian p, Shaw, Civil Engineer IV, Subdivisions
DATE: May 29,2007
SUBJECT: Encroachment Permit Application for: 7100 Aztec Way
Name of Applicant: Villarreal Benny F. Maria 0.
Description of Encroachment: Replace 6' wood fence with 6' brick behind
sidewalk on Tucker St,
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\7100 Aztec Way.doc
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OB ~~ K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian p, Shaw, Civil Engineer IV, Subdivisions
DATE: May 24, 2007
SUBJECT: Encroachment Permit Application for: 7100 Aztec Way
Name of Applicant: Villarreal Benny F, Maria 0
Description of Encroachment: Replace 6' wood fence with 6' brick fence
behind sidewalk on Tucker ST.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\7100 Aztec Way.doc
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APPLICATION FOR ENCROACHl\-IENT PER,\1IT
TO THE CITY ENGINEER OF THE CIlY OF BAKERSFIELD, CALIFORNL-\:
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.
1. Full name of aoolicant and comolete a~dress includim~ohone nwnber: ]3en Vl,H ):10 eiS. U L 11 A~)
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2. Nature or description of the encroachment for which this application is made: .,0 AlA I
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3. Location of the proposed encroachment: A
4. Period of time for which the encroachment is to be maintained:
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Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hannless City, its
officers, agents and employees against any and allliabilltr, claims, actions, causes of action or demands, whatsoever
against them, or any pfthcm, before administrative, quasi-Judicial, or judicial tribunals of any kind whatsoever, arisinS
out of, cormected 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~achment or \llltil such time that this pennit is revoked. ' . ....
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Applicant ~rther agrees that upon. th~ expiratio~ of the. pe~t [or which this application is made, if granted, or 'YI1.Q!l
the revocatIon thereofbv the Cn" engineer. aODltcant wIll at his own cost and cxcense remove the same from the oublic
prooertv 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 wlis before the placing, erection, maintenance or existence of said encroachment. .
Applicant further agrees to obtain and keep all liability insurance required by the City EngineeI' in full force and effect
. for however' long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of
Insurance evide~cing 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:
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Applicant acknowledges the right of the City Engineer, p
revoke the permit at any time. .
Date: :J- /?2 /o..~ .
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PER.~IIT
I HEREBY CERTIFY THAT I HAVE MADE A.~ INVESTIGA nON OF THE FACTS STATED IN THE
FOREGOING APPLICATION Ai'4D FIND ffi-\TTHE MAINTENA.~CE OF SAID ENCROACHMENT (1) WILL
(NOT) StiBSTAI'iTIALL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SA<'IE IS TO
BE LOCATED A~ (1) wn.L (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID AlPLlCATION IS THEREFORE (GRA.'4TED) (DENIE.U). SAID PERMIT SHALL EXPIRE
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Date:
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No,
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.. CI-:Y O~BAKERSFIELD
I ., 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.
Bvi5SZI1~ (/11 MI?f'l"'d
( wners Name)
Phone: ~8t3-l&6r
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of /1..ItLh67t'.
(Address of purposed encroachment)
SIGNED~tI- Qu;rez- V~rd",-
1) Name: 7 l!f}i 'U.. I" e- Ie-
Address: 0 ../- c.
Date:
s-/2/1 iJ7
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2) Name: .
Date: 5'- C) If -0 L
Date: 0 ~Ola of e7
Date: 6/cJ(;2/ D 7
Address:
5) Name:
Address:
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Date: S--2...2--~ O?
6) Name:
Address:
. Date: .
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ENCROACHMENT PERMIT INSURANCE REQUIREMENTS
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I) Type arid Amount of Insurance Coverage for ~ installacion or con.nructioa
1) for residences
Homec\NIlen coverage in an amount of at least 5300,000
2) ror businesses
Commercial General Liability coverage in an amount of at least $.500,000
II) .Additional Insured Verbiage
The City ofB~field. its mayor, council, employees, agcms and volunteers are added u
additional insureds with respects to (i.e. ~
installation ofachain linkf~ceat 1.501 TtuXtUnAve.),
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ACORDN EVIDENCE OF PERSONAL PROPERTY INSURANCE A~ DATE (MMlDD/YYYY)
OPID OS/23/2007
THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
AGENCY ~gN:O, Ex!): 661-321-0800 COMPANY
r~,NO): 661-321-0815
ThomCo Insurance t:'MAII. sfield Amco Insurance Company
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License #0791289 1601 Exposition Blvd
3511 Union Ave Sacramento CA 95815-5103
, ~n CA 93305
CODE: I SUB CODE:
AGENCY VILLBE2
CUSTOMER ID #:
INSURED LOAN NUMBER I POLICY NUMBER
68923573 HAOO16827817
Benny F. Villarreal EFFECTIVE DATE I EXPIRATION DATE
I n CONTINUED UNTIL
7100 Aztec Way 03/14/07 03/14/08 TERMINATED IF CHECKED
Bakersfield CA 93308-6410 THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATION/DESCRIPTION
001
7100 Aztec Way
Bakersfield CA 93308-6410
COVERAGE INFORMATION
COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE
HO Form: 03 1000
A. Dwelling Amount 350000
B. Other Structures Amount 35000
C, Personal Property Amount 245000
E. Per Liab Ea Occ Amount 30000D
F. Med Pay Ea Per Amount 10DO
REMARKS (Including Special Conditions)
Policy is active,
Policy capped at 125%
CANCELLATION
THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS
WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.
ADDITIONAL INTEREST
NAME AND ADDRESS
City of Bakersfield
MORTGAGEE
lOSS PAYEE
LOAN #
ADDITIONAL INSURED
ACORD 27 (2003/10)
AUTHORIZED REPRESENTATIVE
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@ACORDCORPORATION 1993