HomeMy WebLinkAbout03-30000011
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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 . . 03-3POU0011 Date 1/14/03
Property Address . . . 14409 YUCATAN AVE
Application description . PW - ENCROACHMENT PERMIT
Owner
Contractor
CASAS BERTHA
14409 YUCATAN AV
BAKERSFIELD
OWNER/BUILDER
CA 93312
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
46326
145.00
1/14/03
Valuation
o
Qty Unit Charge Per
1.00 145.0000 EA PW ENCROACHMENT
Extension
145.00
Special Notes and Comments
ENCROACH FENCH OUT TO SIDEWALK
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 145.00 145.00 .00 .00
Grand Total 145.00 145.00 .00 .00
Applicant acknowledges the right of the City Engineer. pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit at any time.
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I r, Signiture of Applicant (Owner/Agent)
t1 6;/;/}0 ZOSoS
Print Name
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 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.
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Signature of City EngHfeer .......
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 sufficier.t coverage for
bodily injury or property damage liability of both and required endorsements evidencing the insurance required.
I have read and acknowledge the above.
p( !l:...l..::.Applicant's Initials
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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:
February 6, 2003
SUBJECT:
Encroachment Permit Application for 6' wood fence at back of sidewalk along side yard.
Bertha Casas
14409 Yucatan Avenue
Engineering and Traffic staff has reviewed the attached encroachment permit to allow a 6' wood fence at
back of sidewalk along side yard. The site is located at 14409 Yucatan Avenue.
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.
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
-----Pursuant to the provisions~f~hapter J 2.20 of the Bakers~eld M1l11icip_al ~o_dt?, t!1~~~~rsi~~~ applies for a pennit
to place, erect, use and mamtam an encroachment on pubhc property or nght-of-way as therem defined: - -- ....-.-.-
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4. Period of time for which the encroachment is to be maintained:
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 allliabIhty, 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 pennit is revoked.
Applicant further agrees that upon the expiration ofthe pennit for which this application is made, if granted, or YQQn
the revocation thereofbv the CItv engineer. aoolicant will at his own cost and exoense remove the same from the oubHc
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
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:
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:
SIgnature of City Engmeer
No.
. .
i ~ CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
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TO WHOM IT MAY CONCERN:
._...pm______ u- --- -----..- __._____.__.____1
We the undersigned , have no objection to the construction of a fence beside the
sidewalk within the public right of way.
Bv:
(Owners Name)
(Street for puposed encroachment)
of
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(Address of purposed encroachment)
Phone:
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SIGNED:
1) Name: ~('!~S(9.n
Address: l1 \'1:1' '~L\c.o.t,- YL1\Vf~ :&\i.t~ C~ Cl1.>?A 1-
2) Name: t.\) IN,^ C.Xb t~\1
Address: \t\l. 0 (J --< '" c. ~.'WN-
Date:
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Date:
6) Name:
Address:
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4) Name:
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: January 26,2003
SUBJECT: Encroachment Permit Application for 14409 Yucatan Avenue.
Bertha Casas
6'wood fence at back of sidewalk, along side of lot.
Please review the attached encroachment permit and return to me at your earliest convenience.
S:\PERMITS\ENCROACH\TRAFFIC\14409 Yucatan Ave.doc
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Bj:\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: January 26, 2003
SUBJECT: Encroachment Permit Application for 14409 Yucatan Avenue.
Bertha Casas
6'wood fence at back of sidewalk, along side of lot.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
~
S:\PERMITS\ENCROACH\INSURANC\14409 Yucatan Ave.doc
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01/14/2003 15:23
16618322729
.. FARMERS
OPTIONS....: _ oj. EFF DT. 01/14/03 BOUND: Y HOUBEH01.D~. 0535:':l0245 P40371IK
PRIM INS. ,.. 8ERTHA CASAS AUTO#:
PROP ADDRSS. 14409 YUCATAN AVE ~ BAKERSFI~LO CA 93312.
( 661 ) 555 - lZ1Z OIFF MAIL. N UMB~/TYPE:
POLICY nTFO
PLCYi/STS/UA/RJi:
CO/FS/PT/PG/PC
REN- DT IT"URS
CEA PLCY#/STS
'REPLACEMENT CST
DISC. 5 URCHAIH;r.:S
COVERAGES
DWELLING
SB;P STRUCTURES
PERSONAL PROP
~~~;I~Y
GUEST \..A
SLDG ORDINANCE
LOSS ASSEB~MT
919975779 SOl{
.~I + HQ SPF
',2:121/03
EXTF.;NDE:D..: N
NS HS EI)
LIMlTS
136,QOO
1.3,1;00
9.~,ZOO
-40'1 ,ADO
300,O~ +
1,000
10
+
01-
MORE AVAILABLE
FARMERS INS
]If
+ 001 03
+ - +
PAGE 01
ACENT OF RECORD. 95-41-Q16
PAY PLAN. sa ACCT#.
MCNA#:
CONTE~TTS: Y
MODIFIED: 1J
ROOF ACV; ~T
DEDUGTIBLES/BLOCKS
ALL PERILS 500 +
THEFT
111 at H
+
DETAIL COVERAGES AMOUNT/QTY
ADDL PREMISES N
WATERCRAFT N
BUS PURSUITS-ON N
BUS PURSUIT-OFF N
BUS PURS EMPLOY N
PRS WGRFTiJT SK N
PROP OTHER RES N
FARM LIABILITY N
MORE AVAILABLE
F1=HELP FZ=EX HELP F3=~XIT F4=PROMPT F5=REFRKSH FB=SCRL FWD F9=DiTAILS
F14=SUMMARY Ft7=TOGGLE FZO~VOID FZ1~SUSPEND FZZ~UIW(RJSP) F23=U/W(ENDJ
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,
, .
.& FARMERS
MORTGAGEE
NAME AND
ADDRESS
SECOND
MORTGAGEE
NAMED
INSURED
ADDRESS
EVIDENCE OF INSURANCE FOR MORTGAGEE INTERESTS
COVERAGE AFFORDED BY THE POLICY IS PROVIDED BY.
FIRE INSURANCE EXCHANGE
COUNTRYWIDE HOME LOANS
AND/OR ITS ASSIGNS ATIMA
PO BOX 10212 MSN-SV22
VAN NUYS CA
POLICY NUMBER.
919975779
914100212
LOAN NUMBER.
0405457 00
AMERICA'S WHOLESALE
LENDER A.T.I.M.A
PO BOX 10212
VAN NUYS
CA 914100212 LOAN NUMBER.
3732148
WOMAN AS HER SOLE AND
BERTHA CASAS, A MARRIED
SEPERATE PROPERTY
14409 YUCATAN AVE
BAKERSFIELD
CA 9331Z3729
THIS FORM IS NOT THE CONTRACT OF INSURANCE. IT IS A MEMORANDUM OF
COVERAGE LIMITED TO MORTGAGEE INTERESTS AND APPLICABLE TO THE
DWELLING BUILDING OR MOBILE HOME AT THE LOCATION ABOVE. THE
PROVISIONS OF THE POLICY WILL PREVAIL IN ALL RESPECTS.
INCEPTION DATE. 01/14/Z003
RENEWAL DATE. 1Z/21/Z003
EXPIRATION DATE. (IF "NONE" , THE POLICY WILL BE RENEWED
AUTOMATICALLY,SUBJECT TO THE FORMS THEN CURRENT,FOR EACH SUCCEEDING
POLICY PERIOD, AND IS SUBJECT TO TERMINATION BY THIS COMPANY ONLY
AFTER WRITTEN NOTICE TO THE INSURED, TO THE MORTGAGEE, AND TO ALL
OTHER INTERESTED PARTIES.)
POLICY TYPE.
ACCIDENTAL DIRECT PHYSICAL LOSS .. SPECIAL FORM/TOWNHOUSE SPECIAL
(SPECIAL FORM)
POLICY LIMIT OF LIABILITY.
DWELLING BUILDING OR MOBILE HOME PROTECTION
DEDUCTIBLE APPLICABLE TO DWELLING OR MOBILE HOME
ALL INS PERILS
136000
500
TOTAL ANNUAL POLICY PREMIUM
$
604.14
___ PAID IN FULL
___ PLEASE REMIT
FARMERS INSURANCE GROUP OF COMPANIES
G" ~ ,~" '.
!;. ) 2.
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FARMERS
FORMS AND ENDORSEMENTS APPLICABLE AT INCEPTION
438BFUNS 5-4ZED
E61Z0 ZED
H6Z21A lED
E4Z07 lED
E6179 lED
J6063A lED
1Yam~ r 1YMdo
AUTHORIZED REPRESENTATIVE
Pete
AGENT Pifer
ADDRESS 321 OLD STINE ROAD
BAKERSFIELD
PHONE NO. ( 661 ) 832 - 2000
CA 93309
E6018 lED
H6106 lED
59072 lED
E6044A ZED
H6114A ZED
438BFUNS 54ED
TITLE
.
FARMERS INSURANCE GROUP OF COMPANIES
95 41 16
ST. DIST. AGT.