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
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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
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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
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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.
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\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,
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. 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~ .
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,4) Name: -JJI /iJ_f?-5tv-<2- t1;./{~ '
Address: .-J.o y ~J-e_!-_ -~ .'
5) Name, ~ f;f~' !J27!:::L.
Address: _ _~ --~
e) Name:
Address:
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