HomeMy WebLinkAbout05-30000085
STREET PERMIT
ISS{jED,BYTHE DIRECTOR OF PUBLIC 'WORKS
CITY OF BAKERSFIELD
rPBLIC~:W()RK~ DEPARTMENT
1501 TRUXTUNAVE
BAKERSFIELD CA 93301
(661)326-3049 InSpections
Application Number .... _.
Property Address " ,"','
Application type description
05-3000008?: ,. Date
318 MIRAFLORES AVE MD
PW ,~. 'ENCROACHMENT PERMIT
'Owner'
, Cont'ractor
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LOPEZ WILFREDO & MUNOZ BLANCA
318 MIRAFLORES AV
BAKERSFIELD CA 93307
OWNER
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Permit . . . . .
Additioriar desc .
phone Access Code
Permit Fee
Issue Date
ENCROACHMENT PERMIT
365064
150.00
4/27/05 Valuation
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Qty Unit Charg~ Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
ENCROACHMENT PERMIT FOR A 4 I TALL ,BLOCK
'WALL 397-9958
Fee summary Charged Paid Credited Due
----------------- ---------- -------....-- ---------- ---------...
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .00 .00
24 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS AND TESTING
Applicant is hereby granted pennission, subject to the provisions of all City Ordiriances applicable thereto, and will assume responsibilities for all damages to streets or other
property, that may result from the work performed.
OPEN emlNG OF STREETS WILL NOT BE PERMITTED wrrnOUT INSPEcroR'S APPROVAL
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TIllS PERMIT EXPIRES ON DATE SHOWN ABOVE. FAILURE TO COMPLETE WORK AUTHORIZED ON THIS PERMIT BY DATE OF EXPIRA nON MAY RESULT
IN ADDmONAL COSTS TO YOU IF THE CITY MUST COMPLETE THE WORK. TIME EXTENSION REQUESTS MUST BE APPROVED BY THE CITY ENGINEER
PRIOR TO THE EXPIRATION DATE.
ections~ Addilionalinspectionsover two will be deducted from thelleposit. ~Injtjals
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PrintName'
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ApIJIl.)ved B)': RAUL R()JAS, CITY ENGINEE~,
By:
. Deputy
Additional Te!"ms on the Back
All necessary grading, backfilling, resurfaCingand cleanup is to be done by the applicant.
Traffic control must conform to State of California'andCal Tranlistartdards.
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If the trench or excavation is five feet or deeper, applicant shall, at applicant's sole cost, C(>Inply with all of the
requirements of Municipal, State, Federal authorities now in force, or which may hereafter be in fOrCe, including all
provisions and regulations of the Labor Code of the State of California. Applicant shall be responsible for obtaining
the required permits from Municipal, State and Federal Authorities, PRIOR to proceeding with any of the work.
In consideration of granting this permit, applicant shall indemnify, defend, and hold hannless CITY, its officers, agents
and erp.ployees 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, applicant's employees, agents, independent contractors, companies, or subcontractors in the performance
of, or in any way arising from, the terms and provisions of this permit whether or not caused in part by a party
indemnified hereunder, except for CITY's sole active negligence or willful misconduct.
/;~e read and acknowledge the above.
" Applicant's Initials
Inspector's Report:
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Date Finaled:
mspector:
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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 20,2005
SUBJECT: Encroachment Permit Application for 318 Miraflores Ave.
Name of Applicant Wilfredo & Blanca Lopez
Description of encroachment. Encroachment permit for a 4' block wall
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of description of encroachment. The site is located at address of encroachment.
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\318 Miraflores Ave..doc
05- 85
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Bj\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 13, 2005
SUBJECT: Encroachment Permit Application for 318 Miraflores Ave.
Name of Applicant Wilfredo Lopez Blanca Lopez
Description of encroachment encroachment permit for a 4' block wall
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\1 traffic memo.doc
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B~L\.KERSFIELD
PUBLIC WORKS DEPARTMENT
M.EMORAN DUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 3,2005
SUBJECT: Encroachment Permit Application for 318 Miraflores Ave.
Name of Applicant Wilfredo Lopez& Blanca Lopez
Description of encroachment. Encroachment Permit for a 4' block
Wall. 397 -9958
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
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S:\PERMITS\ENCROACH\INSURANC\318 Miraflores AV.,doc
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the provisions of Chapter 12.20 ofthe 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.
&b I 397-99?55
3. Location of the proposed encroachment: ' '5 I r f11 / 'r?, ,/;)/1'7 r,e" 2 19 1/-( ,..
4. Period of time for which the encroachment is to be maintained:
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, 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 of 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 !!QQ!!
the revocation thereofbv the CItv engineer. aDDlicant will at his own cost and eXDense remove the same from the Dublic
proDert~ or right of way where the same is located, and restore said public property or right of way to the condition
as near y as that in which it was before the placing, erection, maintenance or existence ot 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
Insurance evidencing 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:
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time.
Date: #j ,.. (2 ~ () 1;
PERMIT
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 PUBLIC 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
Date:
S~y Engmee;
No.
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, [ CITY OF BAKERSFIELD PERMIT APPLICATION
PLEASE PRINT OR TYPE APPLICATION
Project Info: JJ1 Y 8 a r ~, -
DescriQtion of Work to be Perfonned
Project Location :,':7 l<h - mil' Ya r 1(7 r -e ~ ./9 J/e .
Address Suite Number
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Tract Number Lot Number
Applicantis (please Circle One)? Owner Contractor Arch / Eng Other
Owner: UU I ft-e 10
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Last Name
Lope'i
Address r:
S 13 M/'Y'a If) Ve S
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First Name
w./j lye do
Suite Number
urJ/39?-99
o Phone Number Fax Number
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Contractor:
Last Name (Company Name)
First Name
Address
Suite Number
City
Zip -
Phone Number
Fax Number
Contractors License Number
License Expiration Date
Arch / Eng :
Last Name
First Name
Address
Suite Number
City
Zip
Phone Number
Fax Number
Architect L Engineer License Number License Expiration Date
OFFICE USE ONLY ~S..' 300000',>
PennitNumber
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;/ CITY O~ BAKERSFIELD
" 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.
~ 1'6: /fI1/vCt f (() r c 5 fI- (/ uC -
(Street for puposed encroachment)
of {J(j /,((y (; j oJ c-II 95507-
(Address of purposed encroachment)
SIGNED:
1) Name: "11:.~.to ~c:z
Address: 32'- ht ~ a,~
2) Name: .Pea Y F ,q F:.c: C-J to )8
p /!/
Address: f()9 Juc...,-q !'ldye, 4[/
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3) Name: ~,&i (l o.4/AJ 1".4 fJJ! ~
Address: 'f (It VI/1iraPlores
4) Name: . '.Elo..;Y' \9. ~(.x~~c;y\,\ c:;: \ r "7,
Address: 3D6 U';'~o.f~~;""p"s ).C\.Vk
5) Name: Lr.eS!25 'Je\nry-1'-C
Address:...1).S AA f tC\. f \G\F;S
6) Name: rL.L-. ~.J;" ,t! -7"~~ ~k.
Add~ess:, :llJ g- ~/'f ~-..t d-t~
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Bv: LLuI fre do )oP-e-Z
(Owners Name)
Phone: t t! 317-- 9'15':3,
Date: 1;, 7. 1 o?
Date: ''/" .~~ -s
Date: LJ, 2 ~- 5
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Date: 1f,2 7-~
Date:4-1~ -.5
Date: )I- .:L..)( IS ,c;-
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Ma~ 06 05 03:22a
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818 762 5090
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CENTURY-NATIONAL INSURANCE COMPANY
Western General Agency
122M Sylvan Street, North HolIvwood, CA 91606
1.800,446.9500
HOMEOWNER POLICY DECLARATION PAGE
Special
Renewal Policy
Page 1 of 2
Policy Number:
HCA 0048976
Policy Period: 12/20/2004to 12/20/200512:01 A.M. Local Time
This policy is continuous until cancelled or non renewed.
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AGENT NAME AND ADDRESS
800,942-4942
COUNTRYWIDE AGENCY INC
12200 5YL V AN 5T 5TE 190
N HOLLYWOOD CA 91606
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NAME AND MAILING ADDRESS OF INSURED:
LOPEZ, WILFREDa
318 MIRAFLORES AVE
BAKERSFIELD CA 93307
103200
Property Loc: 318 Miraflores Ave Bakersfield Ca 93307
In return for the payment of premium, and subject to all the terms of the policy, we agree to provide you with insurance coverage es stated in this policy.
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 conditions of this policy.
The limIt of liability for thi,. structure ICoverage A) is based on an estimate of the cost to rebuild your home. including an approximate cost for labor and
materials in your area, and specific information that you have provided about your home. "
A
SECTION I ' PROPERTY COVERAGE LIMITS
B C
SEPARATE PERSONAL
STRUCTURES PROPERTY
$10,200 $71.400
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SECTION II - LIABILITY COVERAGE LIMITS
E F
PERSONAL MEDICAL PAYMENTS
LIABILITY TO OTHERS
$300,000 $1,000
DWELLING
$102,000
LOSS OF USE
$40,800
each occurrence each person
Loss Deductible for Section I: $1,000 Earthquake Ded'uctible: See Messaqe Below
Subject to the following form(s) and endorsement(s) attached and/or revision(s) included, made part of this policy at the time of issue.
... ..
Special Form, Homeowners Policy
Replacement Cost Composite
Increased Limit for Coverage E & F
Mold, Fungus, Wet Rot, Dry Rot or Bacteria End.
Premises Alarm or Fire Prot System
New Loan Credit
Mortgage Payment Supplement
lender's Loss Payable Endorsement
WG HO 300 (7/91)
WG H0301 (7/91)
Section II
WG H00323 (05/02)
HO,216 (4/84)
W 307 (7/88)
MP 606 (3/84)
438BFU NS (5/42)
374
Incl
Incl
Incl
Incl
Incl
Incl
c.
Total Premium
$374.00 ~
FIRST MORTGAGEE LN: 21432938
COUNTRYWIDE HOME LOANS INC
ITS SUCCESSORS AND/OR ASSIGNS
INSURANCE DEPT. SV-22
PO BOX 10212
VAN NUYS CA 91410,0212
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Direct Bill - Lender
Important - Earthquake Coverage is Not Included: Contact Your Agent For Further Information.
This Policy Does Not Include Building Code Upgrade Coverage.
Coverage Includes Extended Replacement Cost Protection On The Dwelling.
Coverage Includes Personal Property Replacement Cost.
Coverage Includes Workers' Compensation & Employers' Liability Insurance.
19:39:13:70
10/19/2004
Agent Copy
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