HomeMy WebLinkAbout06-30000010
ENCROACHMENT PERMIT
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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
06-30000010 Date
2216 TILDEN WAY
PW - ENCROACHMENT PERMIT
4/11/06
Owner
Contractor
CESAR VAZQUEZ
2216 TILDEN WY
BAKERSFIELD
397-3487
OWNER/BUILDER
CA 93309
BAKERSFIELD
CA 93301
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Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
531129
150.00
4/11/06
valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
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Special Notes and Comments
ENCROACHMENT PERMIT TO CESAR VAZQUEZ TO
MOVE FENCE ON SIDE OF BACK YARD OUT .
CLOSE TO SIDEWALK
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .00 .00
Signature of
he right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
r!Zst7r (hC-f'(/ez--
Print Name
Applicant acknowledge
permit at any time.
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)
SUBST ANTIALL Y RE WITH THE USE OF THE PLACE WHERE THE SAME ls TO BE LOCATED AND (2)
WILL (NOT) NSTIT A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFO (GRANTED) DENIED). Said permit shall expire on date stated above.
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Signature of City Engineer
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Additional Terms on the Back
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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.
CJL Applicant's Initials
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City of Bakersfield
jl* CUSiOMER P~CEIPT ~,!
Op?r: VDAVIS Type: OC Drawer: 1
Date: 4!11/0& 01 Receipt no: 105616
Afloilnl
Oescription w8ntity
200& 3000601~
BP BUILDING PER1HTS
1. 0iU
Tender detail
CC CREDIT CA
Total tendered
Total payas!lt
11866
$150.00
$150.00
$150.00
$150.00
Trans date: 4/11/0& Tile: 12:~~:05
PLEASE BE A RESPONSIBl.EPET O~NER
HAVE YOllR PEis SPAYEl'1 OR NEUTERED
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CITY OF BAKERSFIELD-
i 715 CHESTER AUH.JUE
BAKERSFIELD, CA 9330
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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 3, 2006
SUBJECT: Encroachment Permit Application for: 2216 Tilden Way
Name of Applicant: Cesar Vazques
Description of Encroachment: Move fence on side of yard out to the
sidewalk
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Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to move fence on side yard out to; the sidewalk.
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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. ;
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Based on their review, staff recommends approval of the permit.
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 13, 2006
SUBJECT: Encroachment Permit Application for: 2216 Tilden Way
Name of Applicant: Cesar Vazques
Description of Encroachment: Move fence on side of back yard out to the
sidewalk
Please review the attached encroachment permit and return to me at your earliest convenience.
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Bi~_KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 11 , 2006
SUBJECT: Encroachment Permit Application for: 2216 Tilden Way
Name of Applicant: Cesar Vazques
Description of Encroachment: move fence on side of back yard out to the
sidewalk.
Please review the insurance certificate with the attached encroachment ermit and return to me
at your earliest convenience.
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TO THE CITY ENGINEER OF THE"CITY OF BAKERSFIELD, CALIFOR.:."lL-\: I r7 - 1010D
APPLICATION FOR ENCROACHMENT PE~\1IT
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 nam~ o~ aoolicant and comolete a'~dr~ss includin~phone nwnb~r: eClAir rvt/(JJ1el v 0 utUlZ-.
~ J ltI 11 JUfe/)V\/a L{ 'm,/L-er ~"5fir-A 01 CA Ll8~M . ~-it.. 3CII'~3!&7
2. Nature or descrip,:ion oft~e encroachment for w,hic~ this,ap~icatio~ is made: .'!() n ,1.0(1' ~ id( /'
fff/j~fJ-L. Qt.. ~r::tf;1zf c/ose -tv {'iCleal:llr /~ f1lY a!77(___
Ep(l'Ci0. 6Yl wr;e~8a.rzi.....,........ ' ~. ....., " .... .. .. .
3. Locatiol1~ftheproposedencroaclunent: .,-rOllJ+h (jete feIJr'R / ..pcJtY:J" oJ
LttV7f(:.-/f/) fl . . .
4. Period of time for Which the encroachment is to be maintained: 'fern 7lA'r7f',.ip1---~'
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Applicant agrees that if this application is granted, a'p'plicant shall indemnify, defend and hold hannless City, its
officers, agents and employees against any and allliabll1tr. claims, actions, causes of action or demands, whatsoever
against 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 personae entity)
or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the
l,ife of.said encr?ac~ent or ':IDtil such time that this pe~t is ~ev?ked. ': '. ....' ,
Applicant' ~rther agrees that upon. th~ expiratio~ of th~ p~t for which this application is made, if granted, or'!mQ!1
the revocatIon thcreofbv the Cltv ene:IDecr. aoohcant WIn at his own cost and cxoense remove the same from the pub.lic
prooertv or right of way where 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 existence or said encroachment. .
. '
Applicant further agrees to obtain and keep all liability insurance required by the City Enginect 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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MunicipatCgdej:hwJe;:J2.20 to
PER.'\IIT
I HEREBY CERTIFY TRA T I HAVE MADE A..~ INVESTIGA nON OF THE FACTS STATED IN THE
FOREGOING APPLICATION AL~D FIND ffi-\T THE MAINTENAi.~CE OF SAID ENCROACHMENT (1) WILL
(NOT) SUBSTA~,(TIALL Y INTERFERE WITH THE USE OF THE PlJBLIC PLACE WHERE THE SA'\IE IS TO
BE LOCATED AND (2) wn.L (NOn CONSTITUTE A HAZARD TO PERSONS liSING SAID PUBLIC PLACE;
SAID Al'PLICATION IS THEREFORE {GRA.'fIED} (DE~lED). S~ PERMIT SHALL EXPIRE
Date:
SIgnature of City EngIneer
No.
. CITY OF. BAKERSFIELD
. DEPARTMENT OF PUBLIC WOR~S
TO WHOM IT MAY CONCERN:
We the undersigned I have no objection to the construction at a fence beside the
sidewalk within the public right of way.
of cP d.1 {jJ 11 II/IJA/1 )iV t/L;Ll
(Address of purposed encrtn1chment )
Bv: rfl,~ar M ,vI1?qUj] /
(Owners Name)
Phone: bf.t; I /~Yl7 '-aLl [ 7
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(Street for puposed encroachment)
SIGNED:
1) Name: ;[~. L) 2/Yl'lAff
Address: ,"}-'2-/1' T I '" [) E tv VV,A 'I
2) Name: ,. ~,<-~v- ~r~\~
Address: .~ T;~<."" ,^,.A-
t'" . i1 n ,i-Ar " .~ U
. 3) Name; \.' \( \/L.~'
Address: 71 () ../ i-~~~
4) Name: . LlLu.rli itvdtf j1L€~
Address: ~ {), I;~ f.'1 J.e /iV Lv ~t
5} Name:
Address;
Date: :5 - 3 I -oc:,
Date: "3/31 Iclo
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Date:
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Date:
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Address:
Date: .
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LOAN EXPRBSS LEND1NC, JNC
2 2 2 N M 0 U N T A I N ^ V E 5 T E. \ acta
UPLAND, ell 91186
PHONE:(909) 373-9800 FAX:(909) }73.9S0J
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TOT"!. NO- Of' ,AGU 11OlC;I.l:DINC, COVEll'
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FAX NO. :
Apr. 04 ~gg~ 12:22PM ~2~2
.ANY UJ.4bU'10-OO
MCGRAW INSURANCE. SERVICES
P.O. BOX 40
ANAHEIM,'CA 92815-0040
PAGE
2
L-P ~ ~
FOLley NO.
ANY 0146070..00
COVERAGE ( S) ;
A DWELLING
4322,000 LIMIT
CR3 INCREASED DEDUCTIBLE CREDIT
F MEDICAL PAYMENTS
$250 PER PERSON LIMIT ~
$5,000 PER OCCURENCE LIMIT
COlltPREHENSIVE ilERS. LIABILITY
$300,000 LIMIT
TRAMPOLINE EXCLUSION
SLIDE << DIVING BOARD EXCLUSION
AGE SURCHARGE
SUBTOTAL PREMIUM;
PREMIUM
709.00
INC
INC
C'
132.00
P18
P19
s
INC
INC
INC
841.00
TOTAL PREMIUM:
(FULLY EARNED) POLICY FEEl
(FULLY EARNED) INSPECTION lEE:
TOTAL CHARGE:
*** INSURED'S DWELLING DESCRIPTION STD+ ****
8~1.00
20.00
40.00
$901.00
LIVING AREA
ATTACHED GARAGE
ATTACHED PORCHES !DECKS
NUMBER OF iIREPLACES
TOTAL SQUARE FOOTAGE;
2,147 SqFt.
44.0 SqFt.
32 SqFt.
1 Units.
.2,619 Sqi"t.
The limit of l1ab11it~ Ior this atructure
(Coverage A) is based on 4n estimate of
the cost to rebuild your home, includin9
an approximate cost for labor and
materials in your area, and epeci!lc
information you have provided about your
home.
THIS POLICY DOES NOT INCLUDE OPTIONAL EARTHQUAKE COVERAGE.
THIS POLICY DOES NOT INCLUDE BUILDING CODE UPGRADE COVERAGE.
SUBJECT TO TIlE APPLICATION AND ITS STATEMENTS AND REPRESENTATIONS AND FORM NOeS) ;
NYDP1POL; DP-300{12/92); DP-31S(ED.9-8J); H02490(1/93) 1 NYM1, NYM2J NYM3; CAMrr(E
D.li NM-cA-P01(11/Ol)i NM-CA~MEPL(Q4/02); NM-CA-TWl(OS/02); PM1S(ED.l); PM19(ED.
1)
cPL-l (ED. 1/78). NY03.WPD.
THIS POLICY IS A DIRECT BILL POLICY. A FULLY EARNED $10.00
SERVICE CHARGE WILL BE ADDED FOR EACH INSTALLMENT PAYMENT MADE BY THE
INSURED. AN INSTALLMENT INVOICE WILL BE SENT '1'0 THE INSURED DETAILING THE
REQUIRE]) PAYMENT AMOUNT AND PAYMENT DATE. PAnutN'XS MUST BE RECEIVED IN
OUR OFFICE PRIOR TO THE DUE D~TE OR i~ POLICY WILt BE CANCELLED FOR
NON-PAYMENT OF PREMIUM.
MISREPRESENTATION AND FRAUD - IF THE INSURED HAS cONCRALED ANY MATERIAL FACT OR
INSURED cOpy
04/05/2006: 13:06:01
Printed on 04/05/2006
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FROM;
DECLARATION
FAX ,NO. :
Apr. 04 2ee6 12:21~M P1?2
ANY'0146070-00
MCGRAW INSURANCE SERVICES
P.O. BOX 40 L
ANAHEIM, CA 92815-0040 ,
- ~
PAGE
1
PACIFIC SPECIALTY INSURANCE COMPANY
(BEST RATED A ADMrTTEP)
NAMED INSURED .AND ADDRESS
VAZQUEZ CEZAR
PRADO, S1\NDR.z..
2216 TILDEN WAY
EAKERSFIELD, CA 93309-4388
o~
107- 173 - 7AJ
POLICY NO.
ANY 0146070-00
PRODUCER: B21651 (626)639-4866
TIEN SHEN
DIAMOND INSURANCE SERVICES
P.O. SOX 14~7
WALNUT, CA 91788
CALIFORNIA' - I>P-l OWNER-PRIMARY .
*** DECLARATIONS ***
POLICY NO : ANY 0146070-00.
POLICY TERM; 11/23/2005 TO 11/23/2006 12:01 A.M. STANDARD TIME AT THE ADDRESS
or NAMED INSUUD AS STATED HEREIN_
PROCRAM: DP.-l
COVERED PROPERTIES
# OCCUPANCY USE # UNITS YEAR ROOF .CONSTRUCTION # STORIES
~ OWNR PRIM 1 1984 COMP FRME 1
SQUARE FEET :
PROTECTION CLASS;
CO~T CLASS
2/147 (SEE BELO~)
3
S'n)+
PROPERTY ADDRESS~
2216 TILDEN WAY. BAKERSFIELD
COUNTY: KERN
MORTGAGEE:
CHASE HOME FINANCE
ITS SUCCESSORS AND/OR ASS!GNS
PO BOX 47020 ATLANTA
LOAN i: 1596699051
MORTGAGEE:
J1ilMORGAN cHASE BANK J NA
ISAOA/ATlMA
P.O, BOX 47208 AT~ANTA
LOAN #: 053191245530
CA 93309-4388
GA 30362-0020
GA :30362
COVERAC-E (S) ;
* DW. UNLESS SPECIAL OED. 8ELOW
$250 DEDUCTIBLE
PREMIUM
INC
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INSURED copy
SEE OVER
o4/os/2006~ 13~06~Ol
Printed on 04/05/2006
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X~~ 8l:lL 800l!~OIPO
Apr 05 06 03:45p
p. 1
.. . CERTIFICATE OF INSURANCE
SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIACATE HOLDER WILL NOT BE CANCELED OR OTHERWISE
TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW. BUT IN NO
EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE
DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW.
"
This certifies that: 181 STATE FARM MUlUAL AUTOMOBILE INSURANCE COMPANY of Bloomington. Illinois, or
o STATE FARM FIRE AND CASUAL TV COMPANY of Bloomington,llIinois
has coverage in force for the following Named Insured as shown below;
Named Insured ESTEBAN, FEDERICO & LEONILA AND ESTEBAN. MELISSA
Address of Named Insured 1105 20Tri AVE DELA.NO. CA 93215
POLICY NUMBER 107 465 F16 55
EFFECTIVE DATE OF 12106105 TO 06116106
POLICY
2005 HYUNDAI ELANTRA
DESCRIPTION OF KMHDN46DXSU969787 .
VEHICLE I
LIABILITY COVERAGE I8lYES DNO DYES DNO DYES DNO DYES DNO
LIMITS OF LIABILITY .
a, Bodily Injuty $25,000.00 I
Each Person
a. Bodily Injury $50,000.00
Each Accident
b. Property Damage $25,000.00
c. Bodily Injury &
Property Damage
Si!'lQle Umit Each
Accident
PHYSICAL DAMAGE DYES DNO DYES 000 DYES DNO DYES DNO
COVERAGES $0.00 Deductible Deductible Deductible Deductible
a. Comorehensive - - -
DYES DNO DYES DNO DYES DNO DYES DNO
b. ColliSion Deductible Deductible Deductible Deductible
- - - -
EMPLOYER'S
NON-QWNERSHIP DYES DNO DYES DNO DYES DNO DyES DNO
COVERAGE
HIRED ~ I"OVERAGE ./lDYES DNO DYES DNO DYES DNO DYES ONO
(/)~ fA (Y- AGENT 1389 01/0312006
Sig~re of Authorized Rep~ative Title Agent's Code Number Date
I
CLlNICA SIERRA VISTA
Name and Address of Certificate Holder
Name and Address of Agent
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STATE FARM INSURANCE COMPANIES
ANDREW CABACUNGAN, AGENT
L1C # 0558426
1119 JEFFERSON STREET
DELANO. CA 93215
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Check. if a pennanent Certificate of Insurance for liability coverage is needed: 0
Check if the Certificate Holder should be added as an Additional Insured: 0
Remarks: