HomeMy WebLinkAbout05-30000003
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIEW 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 . . , . . .
Application type description
06-30000003 Date
1412 DODGE AVE
PW - ENCROACHMENT PERMIT
1/13/06
1~A-
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Owner
Contractor
RODRIGUEZ IRMA GUILTNER
1412 DODGE AV
BAKERSFIELD CA 93304
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date , . .
ENCROACHMENT PERMIT
492025
150.00
1/13/06
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
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Special Notes and Comments
BLOCK WALL TO SIDEWALK
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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Print Name
'PrY.! Y ';)1' "-~ .
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~HDENIED), Said permit shall expire On date stated above,
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Signature of City Efigineer -
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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.
I have read and acknowledge the above,
I1.I1/tRPp/icant'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:
January 18, 2006
SUBJECT: Encroachment Permit Application for:
Name of Applicant:
Description of Encroachment:
1412 Dodge Ave
Irma Rodriguez
4' block wall behind sidewalk
'-
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of a front yard fence behind sidewalk not over 4' high.
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\1412 Dodge Ave.doc
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Bi\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: January 13, 2006
SUBJECT: Encroachment Permit Application for 1412 Dodge Ave:
Name of Applicant: Irma Rodriguez
Description of Encroachment: 4' block wall behind sidewalk
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\ 1412 Dodge Ave.doc
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B.L\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: January 13, 2006
SUBJECT: Encroachment Permit Application for 1412 Dodge Ave:
Name of Applicant: Irma Rodriguez
Description of Encroachment: 4' block wall behind sidewalk
Please review the insurance certificate w;rA je attached encroachment permit and return to me
at your earliest convenience. 1ltJV
S:\PERMITS\ENCROACH\INSURANC\1412 Dodge Ave.doc
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 . . , , . .
Application type description
06-30000003 Date
1412 DODGE AVE
PW - ENCROACHMENT PERMIT
1/13/06
Owner
Contractor
RODRIGUEZ IRMA GUILTNER
1412 DODGE AV
BAKERSFIELD CA 93304
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . ,
Additional desc ,
Phone Access Code
permi t Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
492025
150.00
1/13/06
Valuation
o
Qty unit Charge Per
1.00 150,0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
BLOCK WALL TO SIDEWALK
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
pe . t at any time.
'=nm(~ !:br#n<-pf.1 e7
Print Name 0
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 APPLICA nON IS
THEREFORE (GRANTED) (DENIED), Said permit shall expire on date stated above,
Signature of CityCr ~
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 MAt!...
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Home Office
Northbrook, IL
ALLSTATE INSURANCE COMPANY
CALIFORNIA
HOMEOWNERS
Calendar Date: 01/06/2006
Policy Number: 037758697 5 / 26
Insured IRMA L. GUILTNER
Address 1412 DODGE AVENUE
City : BAKERSFIELD
Home Phone No.: 661 - 397 - 9259
ADD/CHANGE SECTION I AND II COVERAGES
Dwelling Protection
Property Insurance Adjustment
ADD/CHANGE LOSS DEDUCTIBLES
All Peril $1000
St.: CA Zip Code: 93304
LI M ITS
$200000
Conditions respecting Binder - Such insurance as may be bound by this service
request:
1, is afforded in reliance by the Company on the statements made by the
Insured;
2. shall be effective on the date, and at the time stated. but in no event
sooner than such date and time;
3. is subject to the terms. exclusions and conditions of the Company's
policy form. and of the forms and endorsements approved for use with
such policy;
4. is limited to a period of thirty (30) days. beginning with the effective
date hereof and expires at 12:01 A.M. Standard Time with respect to the
designated property insurance policy on the last day of such limited
period; provided. however. that the Company may sooner terminate such
insurance by mailing to the Insured, at the address stated. written
notice of rejection of this Service Request.
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Page 1 of More
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- This Endorsement Changes Your Policy - Keep It With Your Policy
Building Structure Reimbursement
Extended Limits Endorsement
For an additional premium and when the Policy Declarations indicates that the "Building
Structure Reimbursement Extended Limits Endorsement" applies, the following
amendment is made to condition 5 (titled ''How We Pay For A Loss") in Section I
Conditions:
In provision c) (titled "Building Structure Reimbursement."), item 3) of the second
paragraph is replaced by the following:
3) 150% of the limit ofliability applicable to the building structure(s) as shown on the
Policy Declarations for Coverage A - Dwelling Protection or Coverage B -
Other Structures Protection, regardless ofthe number of building structures and
structures other than building structures involved in the loss.
This endorsement does not apply to any optional coverage purchased for earthquake damage,
if earthquake damage coverage is purchased with your homeowner policy.
This endorsementappHesonlY-IE '.-- ,--- - __.~____n - ____"__n '_.m_ -. .__n~'
1) You insure your dwelling, attached structures and detached building structures to
100% of replacement cost as determined by:
a) a home replacement cost estimator completed and based on the accuracy of
information you furnished; or
b) our inspection of your residence premises;
2) You have accepted the Property Insurance Adjustment Condition, agree to accept each
annual adjustment in the Coverage A - Dwelling Protection limit of liability, and
pay any additional premium charged; and
3) You notify us within 60 days of the start of any modifications that increase the
aggregate value of your dwelling, attached structures and detached building
structures at the residence premises by $5,000 or more, and pay any resulting
additional premium due for the increase in value.
All other policy terms and conditions apply.
AP445
4/95
All. '
You're in good hands.
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APPLICATION FOR ENCROACHMENT PER.\-IlT
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TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNL.\.:
1. Full name of aoolicant an~ comolete address including phone nwnb~r: .IR III!/}- L..
-ja-?e-ilJ. Rod " '. ) 7. - &
2. Nature or description of the encroachment for which this application is made:
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.
. .
P(>)df'-J8 U~;:> ~
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i Location of the proposed encroaclunent: J (r'J fl J-- 0:9 P/'Of~~j/ .
4. Period oftime for which the encroachment is to be maintained: ~ EVd.
_ . J ~ .
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 allliabll1ty, 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
life of said encr~achrnent or l.:IDtil such time that this permit is revoked. . , . ,',
Applicant further agrees that upon.the expiration of the perInit [or which this application is made, if granted, or'Yl2Q!1
the revocation thereofbv the Cltvengineer. applicant will 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 risdlt 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
Insurance evideI:1cing sufficient coverage for bodily injury. or property damage liability or both and required
endorsements evidencing the insurance required. The type(s) and arnount(s) of insurance' coverage is;
....,
Date:
PER'\IIT
I HEREBY CERTIFY THAT I HAVE MADEA.~ INVESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION Al.'iD FIND ffi.\.T mE MAlNTENk~CE OF SAID ENCROACHMENl' (1) WILL
(NOT) SUBSTA:.~TLUL Y INTERFERE WITH THE USE OF THE PtJBLIC PLACE WHERE THE SAME IS TO
BE LOCATED AND (2) Wll.L (N011 CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GRA.~TED) (DENIED). SAID PERMIT SHALL EXPIRE
----
Date:
Signature of City EngIneer
No.
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." - CITY O~ BAKERSFIELD
., OEP~RTMENT OF PUBLIC WORKS
'. '
TO WHOM [T 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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Bv: RM/f J- ,~d-,JcUe'1F i
,(Owners Name) t2001('JfJLA-t5'E--1
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Phone: (6601-=597..... 59..23 I
cell (51(( J ?O.9-~4/'JMP1Z:(!)R()JriJu4-
,1)0 fj~ f /ff/..f
(Street for puposed encroachment) ,
of ,#//2 IhfJt7k-' fJ//~
(Address of purposed encroachment)
SIGNED:
1) Name:
Address: . ,
2) Name: ~;1ttt /1 U
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AuctA9--0 '
Date: l2 -;:L7 - o.s
, .!\ddrcss:
. 3) Name:
Address:
4) Name:
Address:
~) Name:
Address:
6) Name:
Address:
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Date: ('0.-;1-7-- ()~-
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Date: 1 z;. --,?- 7 - 0 ~
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Date: /- L.j ':;;Jt;<6
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