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HomeMy WebLinkAbout05-30000091 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 Digits) : Application type description 05-30000091 Date 6918 GRAFTON CT MD 011-431-34-00-1 PW - ENCROACHMENT PERMIT 6/08/05 Owner Contractor CERVANTES CARLOS & ESMERALDA 6918 GRAFTON CT BAKERSFIELD CA 93307 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT' 380204 150.00 6/08/05 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments 4' WROUGHT IRON AND BRICK FENCE IN THE FRONT OF HOUSE. 62' X 6' BLOCK FENCE ON SIDE OF HOUSE. PENDING APPROVAL BY RANDY JOHNSON 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. ~'&w/L~~ . Ignature of Apphcant (Owner! Agent) 8rYJ-er t1.--l{)t1. Print Name Ce-r J/tt./lf~J 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 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 ---- 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 Digits) : Application type description 05-30000091 Date 6918 GRAFTON CT MD 011-431-34-00-1 PW - ENCROACHMENT PERMIT 6/08/05 Owner Contractor CERVANTES CARLOS & ESMERALDA 6918 GRAFTON CT BAKERSFIELD CA 93307 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 380204 150.00 6/08/05 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments 4' WROUGHT IRON AND BRICK FENCE IN THE FRONT OF HOUSE. 62' X 6' BLOCK FENCE ON SIDE OF HOUSE. PENDING APPROVAL BY RANDY JOHNSON 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. f;t/J/1A/LR1N (~ Signature of Applicant (Owner! Agent) EsmfJ?:dclo, Print Name urvatrfeJ 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 Ci Engmeer 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. ~pplicant's Initials /- ....--- .- r,r- p ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM 5~ ----:20 \ ?-8 ~ r<r TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: June 24, 2005 SUBJECT: Encroachment Permit Application for 6918 Grafton Name of Applicant Cervantes Carlos & Esmeralda Description of encroachment. 4" wrought iron and brick fence 62'x6' block fence on side of house 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\_Approval memo.doc 05 - 9/ .' ~ . - Bj~KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: June 20,2005 SUBJECT: Encroachment Permit Application for 6918 Grafton Ct. Name of Applicant Cervantes Carlos & Esmeralda Description of encroachment 4' wrought iron and brick fence 62'x6' block fence on side of house Please review the attached encroachment permit and return to me at your earliest convenience. c.!f1!b5 o~ "jiUl f' . S:\PERMITS\ENCROACH\TRAFFIC\1 traffic memo,doc ~ . - BJ\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: June 13,2005 SUBJECT: Encroachment Permit Application for 6918 Grafton Ct. Name of Applicant Cervantes Carlos & Esmeralda Description of encroachment. 4' wrought iron and brick fence 62'x6' block fence on side of house Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. ~!fo S:\PERMITS\ENCROACH\INSURANC'-Insurance memo,doc . '-'-::-;':::''---'''':7j~--' .-' :~~';;,.~;:.: - . · I .. CITY OF BAKERSFIELD PERMIT APPLICATION PLEASE PRINT OR TYPE APPLICATION' I Project Info: t: :.l/V1 ce-- ~ . ~escrip.tion of,r ork to ):!~f~nned ,/l.L ~ _ Y'~ ~" /J I) -' ~, Project LocahoD : l.(Jq I L .tr.L'1-(fUYl "'" L ~::rJt(J12l Lq Address3!! Suite Number iJ'1 'f I Tract Number Lot Number Applicant is (please Circle One) c, Contractor Arch / Eng Other Uo7 ~ner: Catlttn1:e ~- LasttQ~g 4r~ A~J~kl Ci Zi -c.a.rJ oS ~irstName n Suite~ber -? . Lcr D?/J r ~lt?1 Phone Number Fax Number 778 -5(P5 .-' Contractor: Last Name (Company Name) First Name Address Suite Number City Zip Phone Number Fax Number , Contractors License Number License Expiration Date Arch / Eog : Last Name First Name Address Suite Number City Zip Phone Number Fax Number Architect f Engineer License Number License Expiration Date , OFFICE USE ONLY Permit Number () r - 3 Dr> t:)()oct/ ~'~~~ APPLICATION FOR ~NCRO~CHMENT PERMIT :JJ~SD TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA: 1. Full name of applicant and complete address including phone number: Period of time for which the encroachment is to be maintained: \ (\ol e-P1 r\ I'-re..) 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 .!!QQll the revocation thereofbv the CItv engineer. applicant will at his own cost and expense remove the same from the public propert~ 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 'Yhich 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 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) ~nd amount(s) of insurance coverage is: ltomggy;;s j(V;lArCAinceJ - ?()V~ tul1:vl 2t:!1DOO.00 -1)O\~-/~- Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. ' Date: 5' -25 - OS PER'\IIT I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED Ll'l 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 PIJBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (DENIED). SAID PERMIT SHALL EXPIRE Date: Signature of City Engmeer No. , ;,' CITY OIS BAKERSFIELD J ' , 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. 0/(fl-F ToN Se/(u I 5" (Street or puposed encroachment) / Sf / C'(. of f&/q I U L?/Ut FrON (Address of purposed encroachment) SIGNED: ~. 1)!'lame:'0:~. ' .~ . . Address: b q 0!? PI e!li) 2) Name: .~~ ~ ~= Address: 1/// J6raJ1S;. (!j; 3) Name: (--;b5e 4~/:t.u Cc-- Address: 70 7 <J free) 1; S c. ( 4) Name: J ()'~ fer/~ 4' Address: Coer 7 clLU ( ~'r 5) Name: 4/ /f/ ri If 'f- e.-- v_e--.s: Address: r; C) g;- J e-\:-' ~ " r-r 6) Name: ~I1.7 ds/W@Os Address: 6~(7 ~/?:""~..../ c::e-. By: (cud D S ~~IV V MlliS (Owners Name) bb' -378'- 56 5 J.- Phone: "I 37'6- 0' 08 Date: 5-d <j- D S . . ("'. Date: 5'1" d- L.{L-Q:d Date: s;:-- 0-.-4 '-05 Date: 5 -;J-L( - () 5 Date: s J;Ly ,/o~ 7/2~~5- Date: I,m ~rop j o @V) '7 Ii ,~ ~/e. f' ~ Jl.~UI.:) 'Q ~ ('- (-'") (0J) - --- -~ V) -;? - --- ~~ 0)-:> Q Q..; () ~ c9P7--.Dt'\) .. o '<f' (Y) C\I o o r-: '<f' <>> ...... '<f' C\I n.. :2 C\I v o o ..- .. - - ---- ---- ---- ---- = - ---- -0 . , - l~~~ ~ ;::. .1 -,. .- ELITE II POLICY DECLARATIONS Non-Assessable Page 1 of 4 These Declarations are a part of the policy named above and identified by policy number below. They supersede any Declarations issued earlier. Your Elite II Policy will provide the insurance described in this policy in return for the premium and compliance with all applicable policy provisions. See policy for details regarding the other coverages and additional coverage options_ Policy Number: 72 04 MP 247947 Policyholder: (Named Insured) ESMERALDA TORREZ CERVANTES & CARLOS CERVANTES 6918 GRAFTON CT BAKERSFIELD CA 93307-7175 Issued: MAR 09, 2005 Policy Period From: AUG 13, 2004 to AUG 13, 2005 but only if the required premium for this period has been paid, and only for annual renewal periods if premiums are paid as required. Each period begins and ends at 12: 01 A. M. standard time at the Residence Premises. Change Effective Date: MAR 08, 2005 The Following Change(s) Have Been Made To Your Policy: The limit of liability for Section II Coverage E Personal Liability is revised. 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 for labor and materials in your area, and specific information that you have provided about your home. Residence Premises Information: ESMERALDA TORREZ CERVANTES & CARLOS CERVANTES 6918 GRAFTON CT BAKERSFIELD CA 93307-7175 ONE FAMILY FRAME DWELL I NG YEAR OF CONSTRUCTION 2001 PROTECTION CLASS 4 INSIDE CITY WITHIN 1000 FT FROM HYDRANT _ WITHIN 5 MILES FROM FIRE DEPT FIRE DISTRICT 0034 PROTECTION TERRITORY 076 SECTION I Property Coverages Limits Of Liability Deductible: $500 ALL PERILS COVERAGE-A-DWELLI NG COVERAGE-B-OTHERSTRUCTURES COVERAGE-C-PERSONALPROPERTY COVERAGE-D-LOSS OF USE In case of a loss under Section I, we cover only that part of each loss over the deductible stated. $ $ $ $ 173,000 17,300 121,100 173,000 SECTION II Liability Coverages COVERAGE-E-PERSONAL LIABILITY FOR EACH OCCURRENCE: PROPERTY DAMAGE AND BODILY INJURY COVERAGE-F-MEDICAL PAYMENTS TO OTHERS EACH PERSON Limits Of Liability $ 300,000 $ 1,000 H5300 ~ --"0, - r~ . Policy Number: 72 04 MP 247947 Policyholder: (Named Insured) ESMERALD CERVANTES Policy Period From: AUG 13, 2004 TO AUG ELITE II POLICY DECLARATIONS Non-Assessable Page 3 of4 . Issued: MAR 09, 2005 13, 2005 PREMIUM SUMMARY Premium Based On Premium Amount " o POLICY PREMIUM WORKERS COMPENSATION Annual Premium Annual Premium Includes Discounts For: CLAIM FREE HOME/CAR HOME PROTECTIVE DEVICE NEW HOME $ $ $ 554.00 3.00 557.00 10 (') C\I o o FORMS and ENDORSEMENTS MADE PART OF POLICY ,..: "'" Ol ,... "'" C\I ll.. ~ C\I 3 Fire 2502 Fire 2530 Fire 3090 Fire 3191-A Fire 3037-A Fire 3381 Fire 3882 Elite II Homeowners Policy , Workers Compensation and Employers' Liability Insurance Endorsement Lender's Loss Payable Endorsement Amendatory Endorsement Amendatory Cancellation, Renewal and Ncnrenewal Endorsement Building Ordinance or Law Mandatory Endorsement o ;- ADDITIONAL INTERESTS FIRST MORTGAGEE COUNTRYWIDE HOME LOANS I NC ISAOA ATIMA 400 COUNTRYWIDE WAY SIMI VALLEY CA 93065-6298 LOAN #86165996 ......... - Issued By: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY Countersigned At: SACRAMENTO, CA Prior Declaration Issued: NOV 24, 2004 Home Office - Columbus, Ohio By:C.E.MEYERS ,- ......... ......... - - -;; ELITE II POLICY DECLARATIONS ~., ,.. Page 2 of 4 PERSONAL PROPERTY - SPECIAL LIMITS OF LIABILITY The special limits shown below for each category is the total limit for each loss for all property in that category. They do not increase the Coverage - C - Personal Property limits of liability. See Policy for details regarding the Special Limits of Liability. These limits are included in the basic Policy premium. Theft Losses Only Category JEWELRY, WATCHES AND FURS CAMERAS GUNS TOOLS SILVERWARE Limits of Liability $ 1,000 $ 1 , 000 $ 1 , 000 $ 1 , 000 $ 2,500 All Covered Losses Category MONEY SECURITIES WATERCRAFT, TRAILERS MANUSCRIPT COMPUTERS BUSINESS PROPERTY ~ $ $ $ $ $ Limits of Liability 200 1,000 1,000- 1,000 1,000 3,000 500 OTHER COVERAGES/OPTIONS APPLICABLE See Policy or Endorsements for details regarding the Other Coverages and Options that apply to your policy. Other Coverages Limits of Liability INFLATiON PROTECTION APPL i ES BOECKH INDEX 0720.0 BIOLOGICAL DETERIORATION/DAMAGE CLEAN UP ACCIDENTAL DEATH BENEFIT EACH CHILD EACH ADULT FIRE DEPARTMENT SERVICE CHARGE CREDIT CARD - FORGERY $ $ $ $ $ 500 2,000 500 1,000 , 5,000 Options Applicable OPTION-I-EXTENDED REPLACEMENT COST PERSONAL PROPERTY OPTION-J-REPLACEMENT COST PLUS DWELLING OPTION-L-PROTECTIVE DEVICE CREDIT LOCAL FIRE OR SMOKE ALARM SYSTEMS FIRE EXTINGUISHERS DEADBOLT LOCKS ON ALL EXTERIOR ENTRYWAYS OPTION-M-PERSONAL INJURY ORDINANCE OR LAW 10% OF COVERAGE A WORKERS COMPENSATION PART TIME OR OCCASIONAL EMPLOYEE APPLIES APPLIES APPLIES APPLIES APPLIES APPLIES SPECIAL PROVISIONS YOUR PROPERTY IS NOT EXPOSED TO BRUSH FIRE HAZARD. ELITE II POLICY DECLARATIONS ~ Page 4 of4 ~;r ':' .~ r.. IMPORTANT PHONE NUMBERS Nationwide 24-Hour Claims Number: 1-800-421-3535 For QUESTIONS About Your Policy, Call Nationwide Customer Solution Center at 877-0nYourSide (877-669-6877) or log on to Nationwide.com For Hearing Impaired: TTY 1-888-662-8446 Nationwide Regional Office: 503-238-4100 ---, )YL.c,T 39 of -'rll-I\<;l{ 5'(41 PHIts-e ~ '''(lJ.rl+~(.i~'Y, of (3AK:-e1l-5,\::.;e/J) . , I C.O(.lI\J'Yo~ I<.ePJJ, 5TAT-e O'r::, CI+' ;f$dttifl/il,~" p'€tt- tnl+p f<..~({J/lD~ 0 '~v\.I\J't,' IS ,;),00'1 ,'IV 1300"- i..n I' PIT~.e..~ ~ TH~O(J.~ If '30 OF /hAPS' IN'TH'<. oFF,'c-e of 7/t--t.. '(OlANI'( R.:€..,U>(Lf)ett Dr' :;'17,:D LoI/o..NTy, I,. I Nv.&e,r\alc; use, - ~n'cK ~ ~4;', , r f'D)f " hel5V\f - ~etQ.Q -(off f'U\c.e. -- 4-H, , " II "f I '....1 IV f 1'&-\1:*- ~ V?a, I' ~ ~g t.. )(P ,:b--\ilL.fOY" ~-U\ce. ,l ~ A C' ;::> ~ '" -I C) t:. ~ L , S ~-eT,-lt FOIL' 6fovK ~ JJ 5~; P po fbetLT'f,' vi All '$' ~~c.~ .l~ ., ?"- " P.l, \.' 1::1' '" h~,:-1 ':t.- ~. :r. 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