HomeMy WebLinkAbout07-30000011
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
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
07-30000011 Date
3606 PURDUE DR
PW - ENCROACHMENT PERMIT
4/12/07
Owner
Contractor
LOPEZ IRMA
3606 PURDUE DR
BAKERSFIELD
OWNER
CA 93306
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Permit . . . . .
Additiona~ desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
663666
150.00
4/12/07
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
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Special Notes and Comments
Build chain link fence out to sidewalk
at 3606 Purdue Dr.
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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
permit at any time.
,~~~
Signature 0 App. ant (Owner/Agent)
If In C{
Print Name
!.-o ;J e L-
,
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 TIT E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFO 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, 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 arid 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 lJa.xe 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: May 9, 2007
SUBJECT: Encroachment Permit Application fo~: 3606 Purdue Dr.
Name of Applicant: Lopez Irma
Description of Encroachment: Build 4' chain link fence behind sidewalk.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to build 4' chain link fence 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\3606 Purdue Dr..doc
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PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 24, 2007
SUBJECT: Encroachment Permit Application for: 3606 Purdue Dr.
Name of Applicant: Lopez Irma
Description of Encroachment: Build 4' chain link fence behind sidewalk
Please review the attached encroachment permit and return to me at your earliest convenience.
1/ur ('trJO/
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S:\PERMITS\ENCROACH\TRAFFIC\1 traffic memo.doc
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OB .D... K E R S F I E L 1:)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 24, 2007
SUBJECT: Encroachment Permit Application for: 3606 Purdue Dr.
Name of Applicant: Lopez Irma
Description of Encroachment: Build chain link fence out to sidewalk not
over 4' high.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
m
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4~4J:r
S:\PERMITS\ENCROACH\INSURANC\_lnsurance memo. doc
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4s-t.# 1J7-rJtf)03332-
APPLICATION FOR ENCROACHMENT PER.\-IIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIfORNL-\:
.-,
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit
to place, ere~t, use and maintain an encro~chment on public property or right-of-way as therein definzg. ,
" . "" , HIl:tt-7: 4z?l-15)77
I. Full:"""" of aonIicant and "{:1etJ; 'j'Idress includin. phon,. nwnber. .L' J2/111I. 0/1"2/ .
-Afd"jj ~ (,// ,f-71-~~7. .
2. Nature or descripti n of the encroachment for which this application is made: t:'lJ.(J/ ~/. /iAtI? MiL"e
-. . - ... ~.- . .
3Wh'/1;~e-.dk.. ~G1Vo~
3. Location of the proposed encroachment:
4. Period 9ftime for V:, hich the encroachment is to ~ ~in~: ~11I~d ;l/~II C!dij
;yeeds Jie tJ.fleJJ k/A~/le/.-IIJ-e ./Ie/(,/(?( aN.!.. Ak'1 ~ttfetl/Pli.c-, ,
Applicant agrees that if this application is granted, 8p'plicant shall indemnify, defend and hold hannless City, its
officers, agents and employees against any and allliablhty, 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, cormected with, or caused by ap~licant'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 l:Ultil such time that this pennit is revoked.'. " .' .
, ".
Applicant ~rther agrees that upon. th~ expiratio!l of the, pe~t for which this application is made, if granted, or 'YRg!l
the rC'VocatIon thereofbvthe Cttv emzmeer. aoohcant wdl at his own cost and exoense remove the same from the DubHc
proDertv or right of way whcre the same is located, and restore said public property or ri2ht of way to the condition
as nearly as that in which it was before the placing, erection, maintenance or existencc 01 said cncroachment.
Applicant fwtber agrees to obtain and keep allliabilio/ insurance required by the City Engineer in full force and effect
. for however' long the encroachment remains. Apphcant shall furnish the City Risk Manager with a Certificate of
Insurance evidcI).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:
., "'
--- ~
. -.
PERMIT
I HEREBY CERTIFY THAT I HAVE MADEA.~ INVESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION A.L~D FIND ffi-\T mE MAINTENA.~CE OF SAID ENCROACHMENl' (1) WILL
(NOT) StJBSTA~~TIALL Y L'lTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO
BE LOCATED AND (1) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USL'lG SAID PUBLIC PLACE;
SAID Al'PLICATION IS THEREFORE (GRA.~TED) (DENIED). SAID PERJ.'IIT SHALL EXPIRE
Date:
~eer
No.
- ,cr:v O~ BAKERSFIELD
':;0 DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
We the unde~igned , have no objection to the construction of a fence beside the
sidewalk within the public right of way.
;%d? 12. ($
(Street for puposed encroachment)
of ~~ fJ~ed .
(Address of purposed enc~oachment )
Phone(H;) ?1/~u-rJ
SIGNED:
r:VJ .. - /'h ' .
1) Name: , / I I at (c1 " C-&~ y yf?//(J,
Address: .::l&.() / /11 (fir j -P. '
2) Name:. 1r~~ ~
Address: ' c3S3 ~~
. 3)~:=~: ~B~br _
4):::: -~ E~~~
S)Name: !~
Address: ~~. -' ., I -~
8)A::::S: -~~ ()V
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Date: }(.I~/C)1
Date: ~ ~ //-07
Date: 4:~ 11.-07
Date: ef - 't.{ - G'7
Date:
'/-/1-- 07
, L{--r /~o 7
, Date:
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Po~icy Change
Declarations
.t,
. TRAVELERS
HOMEOWNERS POLICY
Named Insured
Your Agency's Name and Address
TWIW INSURANCE SVCS LLC
POBOX 9427
BAKERSFIELD, CA 93389
IRMA LOPEZ
IRMA LOPEZ
3606 PURDUE DR
BAKERSFIELD CA 93306
Your Policy Number:
Your Account Number:
979515969 633 1
979515969
For Policy Service Call: 1-877-872-8737
For Claim Service Call: 1-800-CLAIM33
Policy Period
FROM: 05-10-06 To: 05-10-07 12:01 A.M.
STANDARD TIME AT THE RESIDENCE P~SES
Location of Residence Premises
3606 PlJ:RDUE DR
BAKERSFIELD CA 93306
Change Effective Date: 08/01/06
No Change in Premium
Reason for Change: Change to Mortgagee 1
Section I . Property Coverages
Premium
Limits of
Liability
A - DWELLING
B - OTHER STROCTURES
C - PERSONAL PROPERTY
D - LOSS OF OSE
$
316,000 $
31,600
221,700 $
94,800
766.00
INCL
1. 00
INCL
Section II . Liability Coverages
E - PERSONAL LIABILITY (BODILY INJURY AND
PROPERTY DAMAGE) EACH OCCORRENCE
F - MEDICAL PAYMENTS TO OTBEP.S-
EACH PERSON
$
300,000 $
33.00
1,000
INCL
Policy Forms and Endorsements
HO-3 CA (10-92) Homeowners 3 Special Form
HA-300 CA (04-04) Special Provisions
56494 CA (03-99) Personal Property Replacement Cost $
56512 CA (07-05) Additional Replacement Cost Protection
58273 (12-99) Additional Replacement Cost Protection Increased
Amount - Maximum Additional Amount of Insurance 50%
HO-827 CA (09-05) Limited Fungi Other Microbes or Rot
Remediation
Limit of Liability: $5,000
438BFO NS (05-42) Lenders Loss Payable Endorsement
55769 (03-00) Workers Compensation and Employers
Liability Insurance Endorsement
Total Premium $
Continued on next page
PL-8652'-97 47610WJ926 DEe,: 3
Insured Copy
002043/00606 F311BAHH 6184 08116/06
115.00
4.00
30.00
INCL
949.00
Page 1 of 2
".
Your Premium Reflects the Following Credits or State Surcharges
Security Credit
Loss Free Credit
-57.00
-71.00
Policy Deductible: $ 1000.00 All perils insured against
In case of loss under section I, only that part of the loss over the stated
deductible is covered.
First Mortgagee
GMAC MORTGAGE
PO BOX 4622
WA'l'ERLOO
LOAN NOMBEJl:
COMP
IA 50704
0359306804
Your Insurer:
Travelers Property Casualty Insurance Company
One of The Travelers Property Casualty Companies
One Tower Square, Hartford, CT 06193
"For Your Information
THIS P9LIeY-I-NeLUDES--l;;IMITED BUILDING-CODEUPGRADECOVERAGE~- - -,
Earthquake Coverage is not included in this policy.
For information about how St. Paul Travelers compensates independent agents and
brokers, please visit www.Travelers.oom, or you may request a written oopy from
Marketing at One Tower Square, 2GSA, Hartford, Connecticut 06183.
Thank you for insuring with Travelers. We appreoiate your business. If you
have any questions about your insurance, please contact your agent or
representative.
These declarations with policy provisions HO-3 CA (10-92) and any attached
endorsements form your Homeowners Insurance Policy. Please keep them with your
policy for future reference.
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Prepared by the City of Bakersfield, CA GIS division of
Information Technology. The City of Bakersfield makes no
warranty, representation, or guarantee regarding the
accuracy of this map. This map is intended for display
purposes only and does not replace official recorded
documents.
Page 1 of 1
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