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.
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rttte ad and acknowledge the above.
\.#J plicant's Initials
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BAKERSFIE
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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
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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.
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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!
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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.
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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.
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. 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:
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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
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ill DAPPLE
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110.00 ~ ..... 52.00 /0..00
50.
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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
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TRACT 5416 PH. III
PTN. NW1 /4 SEC. 18 T.29S. R.27E.
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73.00
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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.
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ASSESSORS MAP NO. 526-13
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