HomeMy WebLinkAbout07-30000015
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
07-30000015 Date
919 COLLINS WAY
PW - ENCROACHMENT PERMIT
4/23/07
Owner
Contractor
CORTES MANUEL DE JESUS
919 COLLINS WY
BAKERSFIELD CA 93307
OWNER
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Permit . , , . .
Additional desc .
Phone Access Code
Permit Fee , , .
Issue Date . . .
ENCROACHMENT PERMIT
667931
150,00
4/23/07 Valuation
o
Qty Unit Charge Per
t:OO 150.0000 EA PW ENCROACHMENT
Extension
150.00
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Special Notes and Comments
Block pillers with wrought iron not
over 4' high, built behind sidewalk.
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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
Applican 0 edges the right of the City Engineer. pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit t ~ti e
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Print Name
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACfS STATED IN THE FOREGOING
APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT)
SUBST ANTIALL Y INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2)
WILL (N~~ A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFO~DENIED). Said permit shall expire on date stated above.
~
Signature of'City Engineer
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, whe~er 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 properly 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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B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 7,2007
SUBJECT: Encroachment Permit Application for: 919 Collins Way
Name of Applicant: Cortes Manuel De Jesus
Description of Encroachment: Wrought iron fence with brick pillers next to
sidewalk, not over 4' high
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to. build a 4' wrought iron 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\916 Collins Way,doc
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BA.,KERSFIELL)
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: 919 Collins Way
Name of Applicant: Cortes Manuel De Jesus
Description of Encroachment: Wrought iron fence with brick pillers next to ,
sidewalk not over 4' high.
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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OB .L\. K E R S F I E L D
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: 919 Collins Way
Name of Applicant: Cortes Manuel De Jesus
Description of Encroachment: Wrought iron fence with brick pilfers not
over 4' high next to sidewalk
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'-Insurance memo,doc
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APPLICATION FOR ENCROACHMENT PER.~IT
i'
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 pennit
to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined.
, , ' '..,,' ',', Ce.lI 331-'ro'1'6
1. Full name ofaoolicant and comolete address includimuhone nwnb~r: -1:1 n n,l,.. L-d~ \ f> c;(~~ C(")rf~.s
-3Jq ('nU~nc; {Jk"~f'JK("'rC:;f?pLd C("\ q?>-~O.7 (hh/)?J:f...-OR91
2. Nature or description of the encroachment for which this application is made: ~ ?.de (J.JC1,l \:<.. ,n \) <=L-
.('~nr:,f>+~ .ft"'nrt'"
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3. Location of the proposed encroachment: q I q
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rf)/I. nc, uJay
4. Period of time for ~hich the encroaclunent is to be mai?tain~: --to r liff"
. fI' - ~
Applicant agrees that if this application is granted, ap'plicant shall indemnify, defend and hold hannless City, its
officers, agents and employees against any and allliabll1ty, 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, cozmected with, or caused by applicant's placement, erection, use (by applicant or any other person or entity)
or maintenance of said encroachment. Tbe applicant further agrees to maintain the aforesaid encroachment during the
life of.said encroachment or until such time that this permit is revoked. . , ,',
Applicant' ~rth~r agre~s that ~pon, th~ expiratio!l of th~ pe~t [~r ~hich this ap~lication i~ mad~, if granted, or'!mQn
the revocation thereofbv the Citv engineer. aooltcant w1l1 at his own cost and exoense remove the same from the ou~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 kecp' all liability insurance req?ired by t~e Ci~y Engineer in ~ll force ~d effect
for however'long the encroachment remams. Apphcant shall furmsh the City Risk Manager WIth a Certificate of
Insurance cvidcI).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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Applicant acknowledges the right of the City Engineer,purs
revoke the permit at any time, , '
Date: 4/ c931 ()7
<<BaIsersfie!~unicipal,.cgde .;"Ch}PJ.c~2.20 to
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE A.~ INVESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION AL~D FIND ffi-\T THE MAINTENA..~CE OF SAID ENCROACHMENT (1) wn.L
(NOT) StJBSTA~"iTIALL Y INTERFERE WITH THE USE OF THE PtJBLIC 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 (GRA."iTED) (DENIED). SAID PERL'UT SHALL EXPIRE
Date:
No.
~ngmeer
3()<OQ\!) 0 \ 5
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~~cr~ O~ BAKERSFIELD
" ;' DEPARTMENT OF PUBLIC WORKS
TO WHOM rT MAY CONCERN:
We the undersigned. have no objection to the construction of a fence beside the
sidewalk within the public right of way.
(Street for puposed encroachment)
Bv: ~ (1 (\ () r L-d ("' ~ c:. C,l;~ Lo r-\-;s
(Owners Name)
of~1 q. C^l\~(\~ .( 1 )^~ '
(Address of purposed ncroachment)
Phone: 330 - oRq/
SIGNED:
1) Name: V tJ rn\ n i
Address: CU ~ (' nu1n sIt] I"l ~
2) Name: "'13" lA N (;RR </
.!\ddress: 1G~ CDIIIN) 'uJAf{
. 3) Name: Yp~\GI IV i (eYlk 1) .
Address: ill,\? ~JJ~~U
4) Name: PC_._ ~~
'Address: '. 'Co//;" M /
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Date: '-I / d3/n 7
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D~te: y 2...J I 0 7
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5) Name:
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Address:
45) Name: ~\~X\(\e... h) ('){)Q 1..-
Address: ~ \ ~ C 0\ \; f\~c.,. ~"ln II
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Date: i..J Jtp.. ~ 1 () 1-
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oate:,i/23Io'1
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Date: '~~ 2~- () ')
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A CORD_
EVIDENCE OF P'ERSONAL PROPERTY INSURANCE
OPID N
DATE (MM/DDIYYYY)
04/23/2007
THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY,
AG~CY 661-327-3321
661-327-3490
COMPANY
Stockdal~ Ins (Bk
LICENSE fOC26131
PO Box 10269
Allied Insurance - PL NB
PRCO Personal Lines Processing
3820 109th St. Dept 5678
Des Moines IA 50391-5678
CODE:
~3~~g~ER ID #: CORTMA1
INSURED
LOAN NUMBER
POLICY NUMBER
HMC0012820468
Manuel De Jesus Cortes
919 Collins Way " ,
Bakersfield tA 93307
EFFECTIVE DATE
EXPIRATION DATE
CONTINUED UNTIL
, :xi TERMINATED IF CHECKED
03/19/07 03/19/08
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCA TIONIDESCRIPTION
001
919 Collins Way
Bakersfield CA 93307-1323
COVERAGE INFORMATION
COVERAGE/PERILS/FORMS
AMOUNT OF INSURANCE DEDUCTIBLE
HO Form: 03
A. Dwelling Amount
B. Other Structures Amount
C. Personal Property Amount
E. Per Liab Ea Occ Amount
F. Med Pay Ea Per Amount
Dwelling replacement Cost
500
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105500
10550
i 7 3 8~50-----:- ;' ,~~
S:--300000 ------
IC--roo~o-'- ---->
! 125% I
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REMARKS (Including Special Conditions) "
Policy premium for 12 months is $399.00 policy is active
CANCELLATION
THE POLICY IS SUBJECT TO THE PREMiUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD, SHOULD THE
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW DAYS
WRITTEN NOTICE, AND WILL SENDNDTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS ORAS REQUIRED BY LAW.
ADDITIONAL INTEREST
NAME AND ADDRESS
X MORTGAGEE
ADDITIONAL INSURED
Washington Mutual :Sank, FA
ISAOA, ATIMA
PO Box 100594
Florence SC 2~501
LOSS PAYEE
LOAN #
ACORD 27 (2003/10)
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City of Bakersfield
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