HomeMy WebLinkAbout05-30000006
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.
Owner
Contractor
2/08/06
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Application Number . . . . .
Property Address . . . . . .
ATN (11 Digits) :
Application type description
06-30000006 Date
3200 SUNVIEW DR
021-342-34-00-5
PW - ENCROACHMENT PERMIT
SERRANO AGUEDA ELSA
3200 SUNVIEW DR
BAKERSFIELD CA 93306
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
503086
150.00
2/08/06
Valuation
o
Qty Unit Charge Per
1. 00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
ENCROACHMENT PERMIT FOR SIDEWALK AND
BLOCK WALL
CONTACT NUMBER 871-2227 ELSA
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
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Si ture of Applicant (Owner/Agent) 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.
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, 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.
hhpYf! 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: February 14, 2006
SUBJECT: Encroachment Permit Application for: 3200 Sunview Dr.
Name of Applicant: Serrano AguedaElsa
Description of Encroachment: For block wall & sidewalk along side of
house
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant.
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\3200 Sunview Dr..doc
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 9, 2006
SUBJECT: Encroachment Permit Application for: 3200 Sunview Dr.
Name of Applicant: Serrano Agueda Elsa
Description of Encroachment: For block wall & sidewalk along side of
House.
Please review the attached encroachment permit and return to me at your earliest convenience.
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B.4.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 9, 2006
SUBJECT: Encroachment Permit Application for: 3200 Sunview Dr.
Name of Applicant: Serrano Agueda Elsa
Description of Encroachment: For block wall & sidewalk along side of
house
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
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APPLICATION FOR ENCROACHMENT PER.\1IT
. TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOR.:.'lL.\:
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.
. 1. 1'u1111an1~ o~ a~olicanl and camolete a~dress ineludiD.obone nwnb~ tf'-'d-J~ ,J ~/
_1;J/)1J~~/~ IJ~ M ~~3I)J 6;/. /'(/'---~.,2-~..
2. Nature or description of the encroachment for which this application is made: ~ ~ ~
~~.>>j,~, -t;/M/~4~rdJL~ '~~ivt~-6d1/
yfnt1v~'1-t1U'~~_A'lf:.:a...'--au/:.~ ~?~~,. .,.~
3. Locatiolloftheproposedencroachmcnt: (:f:;2-PO.~~1 A~i//./ tA 51?~tf6
IJ~ ~ "5 ~4><<~, i ,G ~.~V0--d/<,-.. .<
4. Penod of time for ~hich the encroachment IS to be mal~tam~: ~ --I iAA-Ift .
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Applicant agrees that if this application is granted, a,p.plicant shall indemnify, defend and hold harmless City, its
officers, agents and employees against any and allliablht:y, 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 personoe entity)
or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the
life of.said encr?achment or ~til such time that this pe~t is ~ev~ked. .: '. .,'.. , .
Applicant' ~rther agrees that upon, th~ expiratio!l of the: pe~t [or which this application is made, if granted, or '~~n
the revocation thereofby the Cltv en~rneer. apphcant WIn at his own cost and exoense remove the same from the DU .he
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 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 evideIJ-cing sufficient coverage for bodily injury or property damage liability or both and required
en~~rsemcnts .evidencing the insurance required./ The'e(s) and amount(s)o.finsurance'coverage is: .
~-!~-l'~~~~~ ~/~ ___
. ...
Applicant ackno.wledges the right of the City Engineer. pursuantto.BaIsersfie!fLMunicipal..cgde...C~w)C!J2.20 to
revoke the pemut at any time. . ---
Date: f~~,~/" .
I HEREBY CERTIFY THAT I HAVE MADEA..~ INVESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION AJ.~D FIND ffi-\ T THE MAINTENA.~CE OF SAID ENCROACHMENT (1) WILL
(NOT) SUBST.4..L~TLUL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO
BE LOCATED AND (2) wn.L (NOT) CONSTImE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID MPLICATION IS THEREFORE (GRA.~TED) (DE~IED). S~ PERL"IIT SHALL EXPIRE
Date:
No.
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. CITY OF. BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM rr MAY CONCERN:
We the undersigned , have no objection to the construction of a fence beside the
sidewalk within the public right of way.
of 3~{JCJ/wn~ LV
(Address of purposed encroachment)
Phone: ~& J ,11/<7--t7-;Lr;
SIGNED:
1) Name: ~a/dtn~
Address: . .'9ll1 9 54#' ~;~,(/ Ill< .
2) Name: .:. :~.I.1[
Address: Ji $ / L"J iIl~
. 3) Name: 11, -LA"g~~ J;tA~
Address: ~ ~ oS:: ..&~A~~'" EJ,/>u
4) Name: ]306 J7(~
Address: 3:;ZDg> ..5vVlVle...u/ D~
5) Name: ~~'V.r_ .(3e I \
Address: 3'2-0 t1.v^ ~
6) Name:;JI1~ U
Address: 3 (0 'f- )UMv<.' 't'-v--- 0 Y .
Date: A -6 "db
. D~te: 1- ~ ? ~ cJc.
Date: =:l. ~ro r- 6 ~
Oate:2-b-Db
Date~/ '" { 0 b
Date: .'2.~ 7... 06
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~ FARM E RS"
DECLARATIONS
HOMEOWNERS
Replaces all prior Declarations, if any
'\
SPECIAL FORM HOMEOWNERS
FIRE INSURANCE EXCHANGE, LOS ANGELES, CALIFORNIA
A Reciprocal Company
TRANSACTION TYPE: OFFER OF RENEWAL
TIle Policy Period is effective (not prior to time applied for) at described residence premises.
92224-38-12
04
.. . ....----.---_.._........------.
......'-'---" .....-- - --_...........-...-.
................p.ot. .1..0 .N. u. .M.B. E.R.......... ...
. ......._ _. - .___d..
:-:-:::::-:-:::=:::::". ..-::-::----.-. -.-=::::::::.:-:
. .------- _..-..
l'OI.l(YEllll1l1l(
ISSUING OFFICE:
P.O. BOX 1900
PLEASANTON, CA 94566
This policy will continue for successive policy periods, if: (1) we elect to continue this insurance, and (2) if you pay the renewal premium for each
successive policy period as required by our premiums, rules and fonus then in effect.
INSURED'S NAME & MAILING ADDRESS:
AGUEDA ELSA SERRANO, A SINGLE WOMAN
LOCATION OR DESCRIPTION OF RESIDENCE PREMISES:
(Some os mm1ing oddJess unless otherwise sIDled.)
3200 SUNVIEW DR
BAKERSFIELD, CA
93306-2354
DESCRIPTION OF PROPERTY
......(lJUlt:n~6~dr
1986
COVERAGES. We provide insurance only for those coverages indicated by a specific limit or other notation.
... ..............S.OIOt(II.....UA.lll'['(....i)......... ...........d ......"N"yA~.
.)PBtMIUMr
$200,000
$20,000
$140,000
$733.03
ENDORSEMENTS
... .----- ....
.......)r........fN~QR~~ENt).).
...dd......d.IIUMBE~....................
CA015A lED
E4040A lED
E4207 lED
E6046 2ED
E6120 2ED
E6179 lED
E6268A lED
H6106 lED
H6114 2ED
H6221 lED
ENDORSEMENT AMENDING SECTION 11- POLICYHOLDER EXPLAINER
ENDORSEMENT AMENDING SECTION II - EXCLUSION
~ ---------
EXCLUSION AMENDING SECTION II - LIABILITY
EXTENDED REPLACEMENT COST
CONTENTS REPLACEMENT COST COVERAGE
AMENDING SECTION II - LIABILITY EXCLUSIONS
AMENDING DEBRIS REMOVAL COVERAGE AND POLLUTION EXC
SPECIAL LIMITS ON SPORTS CARDS
AMEND SECTION I - LOSS NOT INSUR NB-SPF TP PTP
ENDORSEMENT AMENDING SECTION II - EXCLUSIONS
IMPORTANT NOTICE - ADDITIONAL ENDORSEMENTS SHOWN ON BACK
DISCOUNTS
50 PLUS, NON SMOKER, HOME SECURITY, AND EXPERIENCE RATING PLAN DISCOUNTS HAVE BEEN
APPLIED TO YOUR POLICY.
DEDUCTlBlES
$1,000
POLICY ACTIVITY
(SUBMII AMOUNT DUE WIIH ENCLOSED INVOICE)
Deductible is applicable to covered losses under
Coverage A, B, C.
$ 1.62CR Previous Balance CREDIT
733.03 Premium
Fees
ANY '1OTAl" BALANCE. OR
CREDIT 57.00 OR lESS
Will BE APPLIED TO YOUR
NEXT BILLING. BALANCES
OVER 57.00 AIlE DUE UPON
RECEIPT.
Payments or Credits
$ 731. 41 Total DUE
INSURED PAYS
This Declarations page is part of your policy, It supersedes and controls
anything to the contrary. It is otherwise subject to all other terms of the policy,
AGENT: william S. Chan
AGENT PHONE: ( 6 61) 83 6 - 40 8 8 AGENT NUMBER: 9 5 43 3 6 8
Countersignature
C7~~2~
56-5279 4lH EDITION 1-05
(Continued on the Ret'erse Side)
C5279411
92224-38-12
10-03-2005
AdditionalPremises Section II -
Purpose of use is residential, unless stated otherwise,
, Outboard Motor over 25 horsepower
(Singly or Combined) - Section II
MOTOR A:
MOTOR B:
MESSAGES
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 SPEC1:FIC INFORMATION THAT YOU HAVE PROVIDED ABOUT YOUR HOME.
ASK YOUR FARMERS AGENT ABOUT MORTGAGE PROTECTION.
INSURED PAYS PREMIUM.
THIS POLICY DOES INCLUDE BUILDING CODE UPGRADE COVERAGE.
IN THE EVENT OF A LOSS, AT ANY TIME, CALL US AT 1-800-HELPPOINT (1-800-435-7764)
MORTGAGEE OR OTHER INTEREST: ADDITIONAL MORTGAGEE OR OTHER INTEREST(S):
LOAN NUMBER 2111084
WATERFIELD MORTGAGE COMPANY INC
ISAOA
PO BOX 232
FORT WAYNE, IN
46801-0232 -
.
MORTGAGEE'S BILLING ADDRESS:
WATERFIELD MORTGAGE
PO BOX 232
FORT WAYNE, IN
46801-0232 -
-
ADDITIONAL ENDORSEMENTS
S9049
S9072
258531
438BFU
J6063A
E6044A
CA023A
3ED
lED
1104
542
2ED
4ED
lED
SPECIAL STATE PROVISIONS - CALIFORNIA
ENDORSEMENT AMENDING RETURN OF PREMIUM
CALIFORNIA NOTICE OF INFORMATION PRACTICES
LENDER'S LOSS PAYABLE ENDORSEMENT
AMENDING SECTION I - CONDITIONS LOSS SETTLEMENT
BUILDING ORDINANCE OR LAW COVERAGE ENDORSEMENT
ENDORSEMENT AMENDING SECTION I - CONDITIONS
56-5279 4TH EDITION 1-05
(5279412
..
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Map OutPJlt
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I' Prepared by the City of Bakersfield, CA GIS division of
,Information Technology. The City of Bakersfield makes no
I warranty, representation, or guarantee regarding the
: accuracy of this map. This map is intended for display
purposes only and does not replace official recorded
documents.
Page 1 of 1
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