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HomeMy WebLinkAbout04-30000066 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 . . pin number . , , , , , Property Address Application description 04-30000066 Date 11/15/04 752456 1209 ADELAIDE AVE MD PW - ENCROACHMENT'PERMIT Owner Contractor GARCIA GIL C & SALLY M 1209 ADELAIDE AV BAKERSFIELD CA 93309 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc , Phone Access Code Permit Fee . , . Issue Date . . . ENCROACHMENT PERMIT 296640 150.00 11/15/04 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments 4' wrought iron fence in front yard Fee summary Charged Paid Credited Due Permit Fee Total 150.00 Grand Total 150.00 150.00 150.00 .00 .00 .00 .00 Applicant a~knowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12,20 to revoke the permit at an im c; / (7-~rci~C(. Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FAcrS 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 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 ,. .< -~ ~ . ~ )q~ f)/)/ ~~'p BAKERSFIELD PUBLIC WORKS DEPARTMENT -. - -- MEMORANDUM DATE: January 20, 2005 TO: Raul M, Rojas, Public Works Director FROM: Marian P. Shaw, C.B. III - Subdivisions SUBJECT: Encroachment Permit Application for 1209 Adelaide Street Mr. Gil Garcia Wrought Iron Fence r Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of the wrought iron fence, The site is located at 1209 Adelaide Street. 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 the review, staff recommends approval of the permit. S:\Perrnits\encroach\approval\120gadel \MDF 04-roro , -'-' ~ ~ . ~ BAKERSFIELD PUBLIC WORKS DEPARTMENT Traffic Engineering Memorandum DATE: January 20, 2005 TO: Pat Flaherty, Risk Manager FROM: Marian p, Shaw, C.E. III - Subdivisions 0>~M SUBJECT: Encroachment Permit Application for 1209 Adelaide Street Mr, Gil Garcia 4 ft.-high Wrought Iron Fence at the back of sidewalk Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience, r S:\Permits\encroach\traffic\1209adel \MDF /h . ~ DATE: BAKERSFIELD PUBLIC WORKS DEPARTMENT Traffic Engineering Memorandum December 10, 2004 TO: Ryan Starbuck, C.E, III - Traffic Engineering FROM: Marian p, Shaw, C.E. III - Subdivisions SUBJECT: Encroachment Permit Application for 1209 Adelaide Street Mr. Gil Garcia 4 ft.-high Wrought Iron Fence at the Back of Sidewalk Please review the attached encroachment permit application and return to me at your earliest convenience. loIO'1(pf o . '/zJ. ~ S:\Permits\encroach\traffic\1209adelaide \MDF 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 I maintain an encroachment on public property or right of way as therein defined. Application Number . . pin number . . . . . . Property Address . . . Application description 04-30000066 Date 11/15/04 752456 1209 ADELAIDE AVE MD PW - ENCROACHMENT PERMIT Owner Contractor GARCIA GIL C & SALLY M 1209 ADELAIDE AV BAKERSFIELD CA 93309 OWNER/BUILDER BAKERSFIELD CA 93301 Permit , . , , , Additional desc , Phone Access Code Permit Fee . . . Issue Date . , , ENCROACHMENT PERMIT 296640 150,00 11/15/04 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments 4' wrought iron fence in front yard 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 t e right of e City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at ti d/ M.ec /q' Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FAcrS 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 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 ~-::al Policy EFFECTIVE: 11/25/2004 EXPIRATION: 11/2S/200S AT 12:01AM STANDARD NAMED INSURED AND PROPERTY ADDRESS Empire Fire and Marine Insurance CompanypaymentCenter: A S k C P.O. Box 673397 toe ompany Marietta, GA 30006 HOMEOWNERS POLICY DECLARATIONS POLICY NUMBER AH0100528-7 TIME AT THE LOCATION OF THE RESIDENCE PREMISES/DWELLING UNDERWRITING MANAGER ZCSTERLING INSURANCE AGENCY MONTEREY I CALIFORNIA Garcia, Gil C. Garcia, Sally M. Husband and Wife As Joint Tenants 1209 Adelaine Avenue, Bakersfield, CA 93307 MAIL TO: YOUR AGENT IS: CAFED / J-H 'Garcia, Gil C. "Garcia, Sally M. 1209 Adelaine Avenue Eakersfield, CA 93307 Cal Fed Insurance Agency 2710 Winona Avenue Burbank, CA 91504 800-232-5480 INSURANCE IS TO BE PROVIDED ONLY WITH RESPECT TO THE LOCATION(S) AND/OR COVERAGE{S) FOR WHICH A LIMIT OF LIABILITY IS SPECIFIED, SUBJECT TO ALL OF THE ~ONDITIONS OF THIS POLICY: SECTION I COVERAGES LIMIT PREMIUM SECTION II COVERAGES LIMIT PREMIUM A - Dwelling $ 141,000 $ 420.00 E - Personal Liability $ 30.Q, 00'0 '$ 18.0.0 B - Separate Structures $ 14,100 Included F - Medical Payments '-C - Personal Property $ 98,700 Included Each Person $ 1,0'00 Included D - Loss of Use $ 56,400 Included (Section I Coverages A,B&C are subject to a $ 1,000 Deductible) $ -92.DO OTHER COVERAGES AND ENDORSEMENTS .Number H00003 H00104 H00416 H00496 H02490 H09411 H09486 H09501 IL9003 LIMIT PREMIUM Included Included $ -8.00 Included Included $ 141.00 Included Included Included Edition 1000 0404 1000 1000 0801 0103 0804 0303 0799 Title Homeowners Policy Special Form Special provisions Premises Alarm or Fire Protection Day Care Exclusion Endorsement Workers Compensation - Residence Employees Platinum Homeowners Package Endorsement Limitation Mold Other Fungi Wet/Dry Rot Damage Animal Liability Limitation Practices consumer complaint guarantee assoc info TOTAL POLICY PREMIUM POLICY FEE TOTAL CHARGED FOR THIS TRANSACTION $ 479:'00 $ 0..00 '$ 479.00 FIRST MORTGAGEE (20052158) Countrywide Home Loans, Inc. Its Successors and/or Assigns As Their Interests May Appear Attn: Insurance Department P.O. Box 10212, MSN SV-22 Van Nuys, CA 91410-0212 ADDITIONAL MESSAGE(S): This Policy Includes Extended Dwelling Replacement This Policy Includes Replacement Cost Coverage For This Policy DOES NOT Include Earthquake ~overage This Policy Includes LIMITED Building Code Upgrade Impound SECOND MORTGAGEE (0601920788) WASHINGTON MUTUAL BANK FA ITS SUCCESSORS AND/OR ASSIGNS .PO BOX 25308 SANTA ANA, CA 92799 Cost Personal Property Coverage DATE PRINTED: 10/11/04 nsnops COUNTERSIoGNED: HO-DEC(~98) 1/4/3/1985/1985/137'0/1 INSURED 'COPY . ' APPLICATION FOR ENCROACIDIENT PER.\UT TO THE C,ITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOR."L\: 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, " fl .'. I 1. Full naxne of applicant and complete address including phone nwnber: l'J ',\ \:';'l\..e.c...'\C\.. \~() '\ ~f~ ,,\..P f'""-. -Bolle <'\' P \ A r A\., ~o:j--, ( (;b I) ')(.3 b - ox LIS- 2. Nature Of description of the encroachment for which this application is made: .8 u \ \ ol n feflc... 0 lj.e:-T" '- ().. tu Y b u~ f/I T :r: or () () -f?e r1 t e 7 /-I ,ykz ~ 3. Location of the proposed encroachment: 4. Period of time for which the encroachment is to be maintained: Applicant agrees that if this application is ~ted, a'p'plicant shall indemnify, defend and hold harmless' City, its officers, agents and employees against any and allliablhty, claims, actions, causes of action or demands, whatsoever a~t them. or any pfthcm, 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 o{said encr~achment or until such time that this permit is revoked,'. " Applicant further agre:s that upon the expiration of the permit for which this application is made, if granted, or 'Y1lQ!1 the revocation thereofbvthe Cltv emrineer. aoolicant will at his own cost and cxoense remove the same from the oublic prooertY 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 or said encroachment. Applicant fuFther 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 c:vide~cing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The !)'pees) 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: //- Lt}..- ('j,-/ ~ ./ ~ ~~f ~~:i R'pr,sentatlve) PER.,rrr I HERIBY CERTIFY THAT I HAYE MADE A.'i L"-vISTIGATlON OF THE FACTS STATED IN THE FOREGOING APPLICATION ~~D FIND m-\. T THE MAINTENA. ~CE OF SAID ENCROACHMENT (1) WILL (NOT) StJBSTA.:VfLUL Y INTERFERE "'lTH THE USE OF THE PL"BLIC PLACE WHIRE THE Sr\.)II IS TO BE LOCATED AVO (2) WILL (NOn CONSTITUTE A HAZARD TO PERSONS US~G SAID PUBLIC PLACE; SAID APPLICATION lSTHEREFORE (GRA.'iTED) (DENIED). SAID PERMIT SHALL EXPIRE Date: SIgnature of CIty EngIneer No, '.', \~ . CITY OF. BAKERSFIELD ., DEPARTMENT OF PUBLIC WORKS " , TO WHOM IT MAY CONCERN: , We the undersigned I have no objection to the construction of a fence beside the sidewalk within the public right of way. L1 de. l~.. ~{> Me. Bv' {1 ~ l GM C. ; a. (Street for puposed encroachment) (Owners Name) of \ ~C g ?-i'~,,-""\ckR "" ~~6h\A- 111., Phone, ~ {( ) 'l (~-O "6</,<:;- (Address. of purposed encroachment) SIGNED: l [fo-fE NlL: ' 1) Name: NI AtZrlvJ " ft)/Dr/t Address: ~/ZD:) AJela/Q~' AilE 2),~:~c:s, ~~:r~~r;:;~v '3) Name, ~-!b,dk~ . ' . . . Address: _ - " _ .: _ efa Id~ . , ,4) Name: -JJI /iJ_f?-5tv-<2- t1;./{~ ' Address: .-J.o y ~J-e_!-_ -~ .' 5) Name, ~ f;f~' !J27!:::L. Address: _ _~ --~ e) Name: Address: Date, /;/(/0,/ 'Date://- J~CJ~ Date: 1(-. ('C( -.0 r Date: /1- / y- 'o~ Date: //-IV-()cj" . Date: I ~ I r I I ,'; ., \~J~)q .l~~\Q\ &.~ \\ve, G<\~t,sZ\'€..\ci ~l\ I ct3"3 o':j- e~c.('oc.\Q;l, M p,vI 'Pto3" ......rr- y ~T Ul9h (JroushT J:ro f\J ~(\c..e. IJe;<T 1-0 s',d.e w~\KI i i~. 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