HomeMy WebLinkAbout06-30000026
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 . . . . . .
ATN (11 Digits) :
Application type description
06-30000026 Date
1520 IVAN AVE
381-201-15-00-7
PW - ENCROACHMENT PERMIT
6/23/06
Owner
Contractor
SANCHEZ DAVID
POBOX 42403
BAKERSFIELD
OWNER/BUILDER
CA 93384
BAKERSFIELD
CA 93301
--~-----------------------------------------------------------'--------------
, <, '. . . , '
permi t . . . . .
Additional desc .'
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT'PERMIT
568170
150.00
6/23/06
Valuation
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------------------------------------------------------------------------
Qty
1. 00
Unit Charge Per
150.0000 EA
PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
ENCROACHMENT PERMIT FOR 2 1/12 FT FENCE
AROUND CORNER OF PROPERTY IVAN AND
BALBOA
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 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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Signature of Applicant (Owner! Age1it)
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Print Name
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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.
~ -
Signature of City Engineer '\
Additional Terms on the Back
Applicant agfee~ '~~t 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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City of 3allersfield
I *~~ CUSTOMER RECEI?T a.l
Oper: K~qHLERr. :ype; DC Dr~w~f: 1
Date: ;;,/23/0.) 01 ReceJpt no: 1.,.132
DescriPt. ion . Quantity
2\t30 3~~)~~6
SP BUILDING PERNITS
1~09
Tender detail
CC CREDI1' CA 1&320
. Total tendered
Total paYMent
Trant. dah': 6123/0& 'fine:
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~mount
$150.00
$150.00
$150.00.
$150,00
1&:31:21
PLEASE BE A RESPOtJSJB!J:. PET DiNEr: .
HAVE YOUR PETS SPAYED OR NEUTERED
C I :\' OF BfO;1<ERSF I EL[)-
1715 CHESTER AVENUE
BAKERSFIELD~ CA 9330
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t;tjTCH: 701
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I 7':S73302
3231:GH3f1523
REF:
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liISA
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TOTAL
$150=1313
HtH:
8213
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AP~ 01E:.3L~j
t~.f.~: BELINDii K ffJ!A
CHRDHrnciR ACKNOwLEffSES RECEIPT (~C 600DS
ANv/(iR SfRiJICES IN THE AtroH DF THE
TOIl'lL ~:!:~oJH HEREr~1 AND ~EES TO PERFO;?!'!
THE OPUGATIONS SET FORTH BV mE
Ch'R-DHEt.1&T S Hhf:fH1Bff ~ITH TrE ISSLr'CR
T~JiNKS- FDR USING fJISA
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TC? COF'H1ERl1iPJfI BDTTul1 OJf'\'-CUSTC~1ER
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 . . . . . .
ATN (11 Digitsl :
Application type description
06-30000026 Date
1520 IVAN AVE
381-201-15-00-7
PW - ENCROACHMENT PERMIT
6/23/06
Owner
Contractor
SANCHEZ DAVID
POBOX 42403
BAKERSFIELD
OWNER/BUILDER
CA 93384
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
568170
150.00
6/23/06
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
ENCROACHMENT PERMIT FOR 2 1/12 FT FENCE
AROUND CORNER OF PROPERTY IVAN AND
BALBOA
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .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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Signature of Applicant (Owner! gent)
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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 WCATED AND (2)
WILL (NOT UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFO GRANTED) ENIED). 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
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: July 17, 2006
SUBJECT: Encroachment Permit Application for: 1520 Ivan Ave.
/
Nilme of Applicant: David Sanchez
Description of Encroachment:
2'6" fence behind sidewalk
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to build a 2'6" behind sidewalk along front & side of house.
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\1520 Ivan Ave..doc
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B .i\. K E R S F I E. L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: July 11, 2006
SUBJECT: Encroachment Permit Application for: 1520 Ivan Ave.
Name of Applicant: David Sanchez
Description of Encroachment:
2'6" fence behind sidewalk
Please review the attached encroachment permit and return to me at your earliest convenience.
S:\PERMITS\ENCROACH\TRAFFIC\ 1520 Ivan Ave..doc
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PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Luda Fishman, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: July 7,2006
SUBJECT: Encroachment Permit Application for: 1520 IVAN AVE.
Name of Applicant: SANCHEZ DA VID
Description of Encroachment: 2'6" FENCE BEHIND SIDEWALK
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANCUnsurance memo.doc
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Oij $ .~ APPLICATION FOR ENCROACHMENT PEIl\UT
TO THE CITY ENGINEER OF THE-CITY OF BAKERSFIELD, CALIFORNL-\:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersign. ed apf}ies for a pennit
to place, ere~t, ,use and ~tain an encro~c~ent on pu~lic property .o~ right-of-way as th~1~\d.e~1~..1..\ 45 0
1. Full name of aoplicant and comolete address includimt phone z:u;nb~r: 'h~ ,~C\ . 'l.o...'\ ffi~ \ 0.
l\\t)\"<'~~rl.D y\)C\.V\ C\\J~ ~~~'\ CCl CY~soJ\'{\~\\'~.().~oXY~'-\D~ ~~'t~S.t.l\q5)8~i
2. Nature or description of the encroachment for which this application is made: t==' in ~ _ ' . . .
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3. Location of the proposed encroachment: \'7\ dD 'I.\)o.n ~,\)<L' ~~~~~~d" "
~~~~L\ 'e>~ lo{''(\~\ 0\" ~~\~~~ ~ .+ ~Y\
4. Period of time for ~hich the encroachment is to be maintained:
~C\ .
Q~-{,_ .1
. .
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 allliablhty, 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, 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
l,ife of.said encr~achment or 1;U1til suc~ time that this permit is rev?ked. . '. . ',' ,
Applicant' ~lJrther agrees that upon.th~ expiratio!l of th~ pe~t f~r which this application i~ made, if granted, or 'YI?Qn
the revocatIon thereofbv the Cltv engmeer. applicant wdl at his own cost and expense 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 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 Mana-ger with a Certificate of
Insurance evideI,lcing 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~Balsersfield MunicipatC9de j;~WJc~2.20 to
revoke the pennit at any time. , . .
Date:\Q\~\D\l) . ~')l:t~ . ~ ~~ C>...
~ \..- Igna re of ppilOant Owner or ep entauve)
PER.'lIT
I HEREBY CERTIFY THAT I HAVE MADEA..~ INVESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION A1~D FIND ffi.\T THE MAINTENk~CE OF SAID ENCROACHMENT (1) WILL
(NOT) SUBSTANTLUL Y INTERFERE WITH THE USE OF THE PTJBLlC PLACE WHERE THE SAME IS TO
BE LOCATED Al~D (2) WILL (NOT) CONSTITllTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GRA.~TED) (DE~IED). SAI;!> PERMIT SHALL EXPmE
Date:
Slgnature of City Engtneer
No.
~----
7" "'; ~
- 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.
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(Street for puposed encroachment)
Bv: ~\f"\ctQ ~~~ tf\~\Q..
(Owners Na e)
of
Phone: h>lt> \~ ~ ~ 1. . Y 4 SD
(Address of purposed encroachment)
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Date: b - 22-:-0C
Address: ' ::3
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Address: J5t(o~~~C~
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Address: 7 39:a ~~/'AoC) ]),G
E) Name: ~t:7.f~ CHJ1 JQj'fcJ~t)T1)
Address: 1. \'.:1-1 1-1 w j!J ftV~
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Date: W22fo~
Date: ~/..2.;(O~
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Date: ((1 -d-;2. - 0 ('::)
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ENCROACHMENT PERMIT INSUllo\..'iCE REQUIREMENTS
F llMJ Lh~E'
'(,
I) Type and Amount ofInsurance Coverage for ~ installation or constrUction
1) for residences
Homec\Ntlers coverage in an amount of at [east S300,OOO
, ....,
.,
)
2) for businesses
Commercial General Liability coverage in an amount of at least S500,000
II) ,Additional Insured Verbiage
The City of Bakersfield. its mayor, council, employees, agents and volunteers are added as
additional insUreds with respects to (i.e. ~
installation ofachairi link fence at IS01 TrnxtUnAvc:.).
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tsronze Homeowners POlicy
Declaration Page 1 of 2
unigard
MEMO COPY
Company:
Unigard Indemnity Company
P.O. Box 90701
Bellevue W A 98009
Policy Number:
20082285
Named insured:
David Sanchez
& Belinda Mejia
PO Box 42403
Bakersfield CA 93304
Agent:
River Valley Insurance Associates Inc
3841 N Freeway Blvd Ste 150
Sacramento CA 95834
(916) 568-1121
Amended Declaration issued 12/07/05
replaces all prior declarations, if any,
and with policy jacket, forms and any
endorsements, completes this
Homeowner Policy.
Policy period from 11/09/05 to
09/29/06 at 12:01 A.M. standard time'
at the address of the named insured.
Coverage is provided only where a
premium or a limit of liability is shown
for the coverage.
Location of insured premises:
1520 Ivan Ave
Bakersfield CA 93304
We will provide the insurance described
in this policy in return for the premium
and compliance with all applicable
policy provisions.
Coverages
Limits of Liability
0'
Section I
Coverage A - Dwelling
Coverage B - Other Structures
Coverage C - Personal Property
Coverage D - Loss of Use
$
$
$
$
150,000
15,000
112,500
75,000
Premium paid by:
Number of Families:
Construction Type:
Year Built:
Protection Class:
Territory:
Mortgage. Co.
1
Frame
1960
3
44
Deductible $500
In casE! of a loss under Section I, we cover only that part of the loss over the deductible stated.
Section II
Coverage E - Personal Liability
Coverage F - Medical payments to others
$ 500,000 each occurrence
$ 1 ,090 each person
PremiumSunimary
Basic Policy Premium:
Additional Coverages:
$ 671.00
$ 38.00
Total Policy Premium: $ 709. 00
Notice to Insured
Your policy does not cover flood loss. You may be able to get protection through the National Flood Insurance
Program. If you wish to find out more about this program, please contact your Unigard agent.
Your policy does not cover loss by earthquake.
This policy contains up to 10% of the Coverage A limit for Ordinance Or Law coverage.
The limit of liability for this structure (Coverage A) is based on an estimate of the cost to rebuild your home,
including an approximate cost of labor and materials in your area, and specific information that you have provided
about your home.
Congratulations! Your total premium has taken into consideration the following credits.
Protective Device Credit
Deductible Credit
Thank you for choosing Unigard for your Insurance needs.
Page 1 of 2
153090 (01-01)
X93301 06-03
McMU LUt"y
UblLUI l~bU~oo~
UNIGARD INDEMNITY COMPANY
P.O. Box 90701 Bellevue. WA 98009-0701
uniga,d
Policy No: 20082285 Issued: 12/07/2005
Agent: RIVER VALLEY INSURANCE ASSOCIATES INC
Agent Phone No: (916) 568-1121 17225 SAC
Po I i cy Pe r i od :
09/29/2005 to 09/29/2006
SEE BACK FOR PROPERTY LOCATION(S)
UNIGARD POLICYHOLDER & MAILING ADDRESS:
David Sanchez
& Be I i nda Me j i a
PO Box 42403
Bakersfield CA 93304
Protecting
Our Insureds
Since 1901
~
Homeowners Endorsement Memo
UNIGARD and RIVER VALLEY INSURANCE ASSOCIATES INC thank you for
insuring your home wi th us. Attached is your amended declaration.
THE CHANGES WHICH HAVE BEEN MADE TO YOUR POLICY DO NOT AFFECT THE
TERMS OF ANY PRIOR BILLING OR NOTICE.
. Mortgagee: Bravo Credit Corporation
I tsSu..cJ;;J~SSo r s & 10 r-cA!:).f>,.Lgns_-
1833 Alton Pky Ste 200"
Irvine CA 92606
Loan No: 5000015582
Unigard has 24 hour-a-day Claim Reporting:
Report New losses: 1-800-777-0078
Thank you for giving Unigard the opportunity to serve you
www.unigard.com
SMPX
AL
100772 ZF 6-03