HomeMy WebLinkAbout07-30000012
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
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
07-30000012 Date
2909 CORNELL ST
PW - ENCROACHMENT PERMIT
4/13/07
Owner
Contractor
RUIZ DOMINGO
2909 CORNELL ST
BAKERSFIELD
OWNER
CA 93305
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Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
664490
150.00
4/13/07
Valuation
o
Qty Unit Charge Per
,1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
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Special Notes and Comments
Build 3' retaining wall behind sidewalk
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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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Signature of pphcant (Owner/Agent)
DOMi V)?CJ R cJ /Z
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 ~RE 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 ~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.
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I 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.
f2...fL 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: May 9, 2007
SUBJECT: Encroachment Permit Application for: 2909 Cornell St.
Name of Applicant: Ruiz Domingo
Description of Encroachment: Build 3' retaining wall behind sidewalk.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to build 3' retaining wall behind sidewalk.
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\2909 Cornell St..doc
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B ~~ K E R S F I E L I)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 24, 2007
SUBJECT: Encroachment Permit Application for: 2909 Cornell St.
Name of Applicant: Ruiz Domingo
Description of Encroachment: Build 3' retaining wall behind sidewalk
Please review the attached encroachment permit and return to me at your earliest convenience.
+f 14- ju;07
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S:\PERMITS\ENCROACH\TRAFFIC\2909 Cornell St.doc
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OB ~L\. K E R S FIE L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 24, 2007
SUBJECT: Encroachment Permit Application for: 2909 Cornell St.
Name of Applicant: Ruiz Domingo
Description of Encroachment: Build 3' retaining wall behind sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
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S:\PERMITS\ENCROACH\INSURANC\_lnsurance memo. doc
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......'~ 10 ....~ 0 ~~, 00 r;!-~ NrH ~ocJ, C'7C) c;>ifdJ?(f;
. ~ APPLICATION FOR 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 permit
to place, ere~t, use and maintain an encroachment on public property or right-of-way as therein defined.
1. Full name of aoolicant and comolete address includin2 phone nwnber: DON 1 J '4-6 '~ I 2-
e.10 'I c..-otz-H }::.u".. ~T: ~€-f2~F I~-~ ( ~ I) '8712- - /fJ?75"
2. Nature or description of the encroachment for which this application is made: TaM' e . ~ Lf ~-. 95"58'
'~.lt..-t?i L.L<:,-'l A 5 I 7 it::::"tC:. WA-t.-K.. ~ "3 i~~1-l1 J9'WAL.L-
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3. Location of the proposed encroaclunent: :f"~Li"" or::- ~~
4. Period of time for which the encroaclunent is to be maintained:
~<..
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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 allliablhty, claims, actions, causes of action or demands, whatsoever
against them, or any pfthem, before administrative, quasi-Judicial, or judicial tribunals of any kind whatsoever, ari5in~
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 tlieaforesaid encroachment during the
life of. said encr~achment or ~til such time that this permit is revoked. . . , . .' ,
Applicant" ~er agrees that upon. th~ expiratio!l of the. pe~t for which this application is made, if granted, or' YI2Q!l
the revocatIon thereofbvthe Clty engmeer. aoohcant wdl at his own cost and ex-oense remove the same from the oubli~
prooert" or right of way where the same is located, and restore said public property or ristht of way to the condition
as near y as that in which it was before the placing, erection, maintenance or existence or said encroachment.
Applicant further agrees to obtain anli 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 evide~cing sufficient coverage for bodily inj~ or property damage liability or both and required
endorsements evidencing the insurance required. The type(s) and amount(s) of insurance' coverage is:
., .,
. ~.
Applicant acknowledges the right of the City Engineer, pursuant to-BaIsersfie!d MunicipatC9de J:h.wJey1.2.20 to
revoke the permit at any time. ,
Date: q /1 S /0 7 . , . , 'DOfV\I\'Y/('7 -R <;,1/2-
'--Signature OfApplloant (Owner or RepresentatIve)
PER.~IT
[ HEREBY CERTIFY THAT I HAVE MADE A..~ INVESTIGA nON OF THE FACTS STATED L"i THE
FOREGOING APPLICATION A1~D FIND ffi-\T THE MAINTENA.~CE OF SAID ENCROACHMENl' (1) WILL
(NOT) StJBSTAJ.VfIALL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SA'IE IS TO
BE LOCATED Al~D (2) Wll.L (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GR.A.~TED) (DE~IED). SAID PERMIT SHALL EXPIRE
Date:
No.
/~ of City Eilgineer
TO WHOM fT MAY CONCERN:
We the undersigned, have no objection to the construction of a fence beside the
sidewalk within the public right of way.
-2.."1'01 c:::::-pe.?-ol F l-i-
(Street for puposed encroachment)
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(Owners Name)
of 7l. c.~ 0 'i t.o~l-l ~ LL ~.
(Address of purposed encroachment)
Phoned bc.. ,,) '0"1 '2. -I f3 ~
SIGNED:
Date: 4/;;)../ rf:::;-
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. Date: l{ h ~ lot
1) Name: r .
Address: '::StUll d
2)Name:0es B ~r-y'Y\e..V\-L
Address: Q5( D S- () y- Y.1i.U s -r ,
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. 3) Name: ~ -.Jl : ,\ ':
Address: I Q . ...
4) Name: -. e C;; tr~'('v\ u.. V\
Address: ~? 1 /6 ~C:Y 'f' e I \ .5 -\-
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~) Name: L.{(\ r /OvuaA-
Address: & 9 I 7 C 1Y (}( i I __\:w- n7!-
6) Name: ~ tS () C;' .f/Oil fc,. )0
Address: ? &j 6~ Q(}'/fl~il ~ 1-.
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Date: Ii J (/) / 67
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Date:
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Date: 4/ r2/6~
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DATE (MM/DDIYY)
4/12/2007
THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
--.----
PRODUCER Jl)8,NJO. Ex!): (661) 833-0300 COMPANY
MCA INSURANCE SERVICES Mcgraw Pacific Specialty
2500 S CHESTER AVE.
BAKERSFIELD
CA 93304
.__"_ __0_ _on __ ..
Liability
CODE:
AGENCY---- -
..9!STOMER 1.0 #: __,.
INSURED
Domingo Ruiz
SUB CODE:
LOAN NUMBER
, POLICY NUMBER
N/A
i ANQ 2881581
-----~---~------~--
EFFECTIVE DATE EXPIRATION DATE
2909 Cornell St
Bakersfield Ca 93305
4/12/2007 I 4/12/2008
THIS REPLACES PRIOR EVIDENCE DATED:
CONTINUED UNTIL
'I TERMINATED IF CHECKED
LOCA TION/DESCRIPTION
2909 Cornell St, Bakersfield Ca 93305
2909 Cornell St
Bakersfield
CA 93305
Personal Liability
250
Total policy paid $ 287.00
City of Bakersfield
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