Loading...
HomeMy WebLinkAbout06-30000025 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 06-30000025 Date 5311 SECRETARIAT LN MD 6/19/06 PW - ENCROACHMENT PERMIT Owner Contractor BAYNE CURTIS A & LEANN R 5311 SECRETARIAT LN BAKERSFIELD CA 93312 ( 66) 588-2405 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 565507 150.00 6/19/06 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments ENCROCHMENT PERMIT TO BULD RETAINING WALL AND BLOCK FENCE Fee sununary 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 pe . at . me. ~'7 (.2,,'DA v02~ Print Name 9 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 atf 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. and acknowledge the above. ant'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 06-30000025 Date 5311 SECRETARIAT LN MD 6/19/06 PW - ENCROACHMENT PERMIT Owner Contractor BAYNE CURTIS A & LEANN R 5311 SECRETARIAT LN BAKERSFIELD CA 93312 ( 66) 588-2405 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 565507 150.00 6/19/06 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments ENCROCHMENT PERMIT TO BULD RETAINING WALL AND BLOCK FENCE 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. ~ C \.t (en <S:. Dv... J iI\ 5e I J...} Signature of APplicant'(~1 Agent) rint N me ........ - 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) 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. r; rttte ad and acknowledge the above. \.#J plicant's Initials 4 . BAKERSFIE L D Vb ~ ~1' - PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 12, 2006 SUBJECT: Encroachment Permit Application for: 5311 Secretariat Ln. Name of Applicant: Bayne Curtis A. & Leann Description of Encroachment: Build a retaining wall & a block wall. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build retaining wall not over 2'8" high & a6' block wall on side of property. 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\5311 Secretariat Ln..doc 0(0- )5 ~ . - BJ\.KERSFIELI) 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: 5311 Secretariat Ln. Name of Applicant: Bayne Curtis A. & Leann Description of Encroachment: to build a retaining wall & block wall Please review the attached encroachment permit and return to me at your earliest convenience. ~~UT Ife'u:" ilrr0/11__/()~ O'/e . '* _ -=Pe'AJCE /f'<'516Jfr 9to/(t; Jib( ~(/~tJ P M~ / M w.4 f2.etJu./ (t'6M6iV{. CW Mft::" S:\PERMITS\ENCROACH\TRAFFIC\5311 Secretariat Ln..doc /:h . - B .-'\. K E R S F I E L D 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: 5311 SECRETARIAT LN. Name of Applicant: BA YNE CURTIS A. & LEANN Description of Encroachment: BUILD RETAINING WALL & BLOCK WALL Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\5311 SECRETARIAT LN..doc 1\ CITY OF BAKERSFIELD PERMIT APPLICATION PLEASE PRINT OR TYPE APPLICATION Project Info: Bled" tJ^u..... Description of Work to be Performed ProjectLocation: 5~/1 sGC-f<c-m~llr t.I/~ Address Suite Number II Tract Number Lot Number Applicant is (Please Circle One)? Owner Contractor Arch / Eng Other Owner: BB#J1-( . ~5 Last Naml C2' .1-_ ...... A-. First Name 5'? II ve.-€-r(;...I~/~ ~ dress I A J /' Suite Number 1"1<<..J. ~ 3 6~/. ~;;'3' 77()cJ City Zip Phone Number Fax Number Contractor : Last Name (Company Name) First Name Address Suite Number City Zip Phone Number Fax Number "" Contractors License Number License Expiration Date fJ ' Arch I Eng : cq;,1J~i}t.,. Last Name I/A~v First Name Address Suite Number City Zip Phone Number Fax Number Architect I Engineer License Number License Expiration Date OFFICE USE ONLY Permit Number () 6' '3 IJO O() () )~ JUN-16-2006 11:03 FROM: TO: 3239701 P.2/5 ACORD CERTIFICATE OF LIABILITY INSURANCE I OATE (MMlDDlYYYY~ ....__ TM 6/16/2006 PRODUCER (661) 327-3111 FAX (661) 327-126:;J THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONlY AND CONFERS NO RIGHTS UPON THE CERTIFICATE wilson Paves Ii< Associates HOlDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR. 2300 Bahamas Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bakersfield CA 93309 INSURERS AFFOROrNG COVERAGE NAIC 1# IN$U~ED INSUREK A: Vallev I:nsurance Co. 14133 C~rtia A & Leann R Baym~ INSURER B~ 5311 Secretariat Lane INSUR~R c: INSURER 0, Bakersield CA 93312 INSUftER E: COVERAGES ~ tHE POLICIES OF INSURANCe LISTED BELOW HAVe; aliEN ISSUED TO THE INSURED NAMED ABOVE FOR THe POLICy PERIOD INDICATEO NOTWitHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSlJ~ANCE AFFORDED BY THE POLICIES DESCRIBeo HEREIN IS SUBJI;CT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. INSR ADD'L Pt?.k+~~~~8~1" PO~,9J ,~M':~~ilN - LT~ '~A~ TYPE OF INSURANCE POLICY NUMBER LIMITS ~NERAL LIABILITY CACI'I OCCURRENCE $ 300000 COMMERCiAl. GENt:RAL LIABILITY ~~~~H?~~~~~noe' s A I CLAIMS MADE 0 OCCUR HI' 0736394 8{26{2005 8{26{2006 MFD EXF' rAnv 008 Dersonl $ 5000 X ~, All Peril FoX'll1 PCRSONAL" AOV INJU~Y S GENE~L ACGREGATC $ ~L AGGREn LIMIT APPLIES PER: PRODUCTS.COM~OPAGC $ POLICY jr8i I~r LOC ~TOMOIlILE LIABIUTY COMeIt'lEO SINGLE LIMIT $ (E~ ~oc:i(ionl) - ANY AI)TO ~ ALL OWNED AU'rOS BODILY INJURV (t>er person) S ----. SCHEDULED AUTOS !- I-lIRED AuTOS BOOIL V INJURY $ NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (per 3cxidonll GARAG~ I.IABILIl'Y AUTO ONLY. EA ACCIDENT $ R ANY AUTO OTHER THAN EAACC S AUTO ONJ.Y' AGG $ EXCESSJUMBR~LLA LIABIL.ITY "A(~H OCaJRRENr.F $ ::JOCCUR 0 CLAIMS MADE AGGRECATE S $ ==i DEOuCT18LE $ RETENTION S S WORKERS COMPENSATION AND I T~~,nATU-:I IOi7t EMPLOYER$' L1ABILi'rY T IMlls ANY PROPRIETORJPARTNE~EXECUTlVE E.L EACH ACCID~NT $ OFFICER/MEMBER exCLUDCD? G.L. OISEA..<:E . EA EMPLOYCE $ II .....s. de.cribe u ndcr SP~CI^L PROVISIONS below ~ L. DISEASE. POLICY LIMIT $ OTHER DESCRIPTION OF OPERA110N$/LOCATlONSlVEHICLeSIEXCL.USIONS ADDEO BY ENDORSEMeN'l'ISf"fCIAL PROVISION$ The City Q~ D~kersfiel~, its mayor, council, employ.ea. ~gent5 ~nd voluntee~5 are added ~5 ~4d1tional in5~r.dB with raspect5 to the in~tallation of a 6' wooden fene. behind the sidewalk CERTIFICATE HOLDER -- . ACORO 25 (2001/08) I~S025 (0108).08 AMS CANCELLATION SHOULD IUlY OF Tftl! ABOVE DESCRI.,I;D POLICIES BE CANCEL.LED BEFORE THE EXPIMTION DA'l'E THEREOF, THE ISSUING INSURER Will. ENDEAVOR TO lIoIAlL. .!.2..- DAYS WRlnEN NOTICIO TO THE C~RTIFICATE HOLDER NAMI!O TO THE LEFT, BUT FAILURE TO 00 $0 SHALL IMPOSE NO OBLIGATION OR LIABiliTY OF ANY KIND UPON THe INSUR!::", ITS AGENTS OR REPRl!SI!N'rATIVES. AUTHORIZED REPReSENTAtiVE \::\ John Ansolal:lehere/KR ~~...,,~~ i!il ACORD CORPORATIO~ 1988 ~he City of Bakersfield 1501 Truxt~n Ave Bakersfield, CA 93301 VMP MOI'tgi>go SOlutions, Inc. (800P27.if,)4~ P~I!G 1 or 2 ~ IIi ~".l! ~ ~ : .s r& 'kI ~'a-!l ~: s. :s &1- OQ $.~ "\ -~.. APPLICATION Ft lR ENCROACHMENT PER.\1IT \' . 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. 1. Full nam~ of aoolicant an~ comolete address includin~ phone numb~r: Cit.t1- TlS . 8c~yue ~// Sec-re-~/c,.::/-~~ f'33/J- ~t/. 3oLf- %70 GV/ . 2. Nature or description of t~e encroachment for wFch this" a~p.Iication ismade:; ~~ ~~'n rtL-l' ~ Q{:'i C? -r JV;> J1,a;-,-.e- feu.. ..;11 €" tf t? t, f;;; r ~ LL h Je~ Wcv! I. I 3. Location oCtile p~po:~ ~~a~lunen~: ;,~ r~ ~,J~ {!{ I~P/y J:/U-1Ji,.; & hadv uI' ~ 5rle,.wall< . . J 4. Period of time for ~hich the encroacI;::;ent is to be maintain~: -It; yo e-5 . (~ 45~'~ . f~~ .~.~ ~~'" Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hannless City, its officers, agents and employees against any and allliablhtr. claims, actions, causes of action or demands, whatsoever against them, or any pfthcm. 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 encr?ac~ent or ~til such time that this pe~t is ~ev~ked. .: '. ..... . Applicant" ~rther agrees that upon.th~ cxpiratio~ ofth~ pCrin.!t for which this application is made, if granted, or'YQQn the revocatton thereofbv the CIN engmeer. appltcant wlIl at his own cost and expense remove the same from the pu~lic property 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 Engineet in full force and effect . for however' long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of Insurance evidel).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) ofinsurancc'coveragc is: Itc;u(rJ 4- 3t)(),0 OD ~ tl CcuriJMU/' . > ' . ... Applicant acknowledges the right of the City Engineer,pursuantto.BaIsersfield Municipal.Cgde...CqWJc!:J2.20 to revoke the penn.it at any time. . . Date: & (i'v/b f. . , . I PER.'IIT I HEREBY CERTIFY THAT IH.-\.VE MADEA..~ IN"VESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION Al~D FIND ffi-\.T THE MAINTENk~CE OF SAID ENCROACHMENT (1) WILL (NOT) SUBST ~NTLUL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SA'IE IS TO BE LOCATED A.~ (1) Wll..L (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PT.JBLIC PLACE; SAID AFPLICATION IS THEREFORE (GRA.'iTED) (DENIED). S~ PERMIT SHALL EXPIRE Date: Signature of City Engineer No. "./ , . c . 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. lJaf/Jk (Street for puposed encroachment) Bv' (1.,,~ ~ne . (Owners Name) of r;~I/ ~Slj~ ~ _ Phone: ~C( ~'r'-'1~7D (Address of pufposed encroachment) SIGNED: I'J 1) Name: <~t1 ,,'31J?QUO Date: U:?-/2-tJb lIJ' Address:. /()9rri Dfl{{'LE ~f .(lA-.. . 2) Name: "M/lIIJ fV1fA~()j7.,5> ~3~/L D~te: (10-))-06 Address: ! 0 81~ ]) Ii P J7 Lt (,.J Y. .t J..fD I\. fr- q 3'] J d- . 3) Name: 1xS108h I~ Address: II b6J .,~ iJ~ l~rJlUY'[ ~ Cf3MZ 4) Name: Ir!tm./). flx111~' . .' Date: Address: IIml5 ~11f'f/e/ 1l)()1f.:Aakrt:iiJtl &L 1331P- 5) Name: {? fJ10 ~ Address: Date: b)Jz!a. I Date: /.a!/<P/tJti2 01/~O(P & (I~O~ Date: - I ir ~ J '1(- ~ i? ~'-r M~ I I / .. ~' / . . . ." ENCROACHMENT PERMIT rNSUR..A.."CE REQUIREMENTS I) Type and Amount ofInsuranc:c Coverage for ~ installation or construCtion liability coverage in an amount of at least 5500,000 II) .Additional Insured Verbiage . - -=- The City ofB~ersfield. its mayor, council, employees, agents and voJuntec:rs are added as additional insureds with respects to (i.e. ~ installation ofa. chaiIi link fence at 1501 TroxtUn Ave.). . . : 526- 1 3 A Ad- -~ (}(7~ L'~) l~ J_ - II Yv / err! ~ d~ .qJtW) ~ -t 4 wJ[ ) 0 J @ , ,<1>' ,'; ill DAPPLE .- ~ ,,/' ,~ ,I' 110.00 ~ ..... 52.00 /0..00 50. ~ ,'...... :s :s ~ :g: :s @~ 0; ~ 0; @ @ @ ~ @ ~ I 1'26' ~ A(16) A(l5) A(l4) A(lJ) A(12) I A(1B)\_/ 72.0.0. 70.00 70..00 9~.53 L___.___ ~ V) @ TRACT 5416 PH. III PTN. NW1 /4 SEC. 18 T.29S. R.27E. @ 73.00 A(l) :s0 ~ A(J) o A(4) o A(5) o A(2) o ~ LEGEND SUBD. KEY DISCLAIMER REF. ?.!!~ This mop is for DRAWN A. TR 5416 PH 111 ~~ry~STr~ntngtur~os~; September 11, 2002 , construed os portraying legal ownership or JURISDICTION divisions of tand for (LOT DESIGNATIONS purposes of zoning or CITY OF BAKERSFIELD IN PARENTHESIS) subdivision low. 73.0.0. A(6) 0:s " ~ 526- 1 3 ,. ~ 100' @ ASSESSORS MAP NO. 526-13 COUNTY OF KERN IfA l~ ~_.. h \ cO) ~. . I" ~---~.~----....._--' --+-- .-.----!..---.--.. --..---+----.. ---r--~--.- I I I I .! ....--+----..- --- - -'.-- "-"-. --.- l. "j-'-'-'- _.__;__ _.-,._ ____.I. i -;- "Ie .-.. - I . r'.'.-., - - --',-- -. - ----;-_. I 'l I rr \ ,! 'I I I j- ! ft I I i I J .__..1 .". · l VJ '.- -.. ( I I I ., I \._ _ i I I .1 ~ - -,...~.,.....'.... P I I I I (0.0 \' cr ~.l