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HomeMy WebLinkAbout06-30000011 "i' --' 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 06-30000011 Date 5728 STINE RD 516-071-13-00-6 PW - ENCROACHMENT PERMIT 4/11/06 Owner Contractor MARTIN DEL CAMPO MARIA 5728 STINE RD BAKERSFIELD CA 93313 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date ENCROACHMENT PERMIT 531103 150.00 4/11/06 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments ENCROACHMENT TO ALLOW DOOR TO OPEN INTO THE LANDSCAPE AREA 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. m a'iJ. (;J Tn;::; RT;' #.JUG / r:? rr1 /0 Signature of Applicant (Ownerf Agent) MartIN De/ CaMoo Ma,,/a Print Name I 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 (N. OT) ~N~E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANT -' (DENIED). Said permit shall expire on date stated above. ~ Signature of cifY Engineer ---- Additional Terms on the Back c " 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 i_ i.~ )-3& ~ ~ . r<-Y - B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 19, 2006 SUBJECT: Encroachment Permit Application for: 5728 Stine Rd. Name of Applicant: Marlin Del Compo Maria Description of Encroachment: Encroachment to allow door to open into landscape area. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build their corner of the garage onto the adjacent slope easement. 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\_Approval memo,doc ora - / { r ;; ~~ ~ . - BA..KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 12, 2006 SUBJECT: Encroachment Permit Application for: 5728 Stine Rd. Name of Applicant: Martin Del Compo Maria Description of Encroachment: Encroachment to allow door to open into landscape area. Please review the attached encroachment permit and return to ,me at your earliest convenience. 4/1- ! ~t' (J.p- qpf S:\PERMITS\ENCROACH\TRAFFIC\5728 Stine Rd..doc .... f .;Z ~ . - Bi~KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Luda Fishman, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 13, 2006 SUBJECT: Encroachment Permit Application for: 5728 Stine Rd. Name of Applicant: Martin Del Compo Maria Description of Encroachment: Encroachment to allow door to open into . landscape area. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\5728 Stine Rd..doc ~ .- '" 04/12/06 To Whom It May Concern: I, Jose Luis Diaz, gave permission to Dalissa's Bakery to open a new back door size 36x80 and do all necessary adjustments for his location of the bakery at 5728 Stine Rd. Bakersfield, CA 93313. rAn __, ~~ ~ -<;.-'g Sincerely, ~, ... .,..;:- ~f i ~"'.j ~~':Ji~ . i. fl. a- !J Q;'S'~ t{o Oij $ .~ APPLICATION FOR ENCROACHMENT PEI,t.\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 name of aooIicant and comole address includin~phonc nwnber: m a.V"\Cl ~t 0 o 2. Nature or description of the encroachment for which this application is made: 1/ ~ 0 "( . {) of e '" . S l.) f l Vl ~ 0 .{. ~ t. . , l'{ '1 cls (ct(>~ it t e.. C(. .- -. - ..... , . , " ..' 0,/ 3. Location. of the proposed cncroaclunent: 6"=t a. ~ S~ 'tle. RJ - c.)- 055 St-eei Ikn-, S 1- J . 4. Period of time for ~hich the encroachment is to be maintained: -Fa v pV(. yo . - I ~ cl~~ _i V\ 4 -Ie . , Applicant agrees that if this application is granted, al?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, arising out of, cOIll1ected 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 tlie aforesaid encroachment during the ~ife of.said encr?achment or ':IDtil such time that this pennit is revoked. . , .,., Applicant' ~rther agrees that upon,th~ expiratio~ of the. p~t [~r ~hich this ap~lication i~ mad~, if granted, or'1mQl1 the revocatIon thereofby the Cltv eosnneer. aoollcant w1l1 at his own cost and exoense remove the same from the oub.lic 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 cvide!J.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) of insurance' coverage is: .. '\ . ~. - --. . Applicant acknowledges the right of the City Engineer. pursuant to-Ba.lsersfield Munic:ipal.Cgde ...ch.WJcy1.2.20 to revoke the permit at any time. , Date: If -:- / 1>-- c:. L c<... 2...c--~ ~ - ant wner or epresentatlve PER."IIT I HEREBY CERTIFY THAT I HAVE MADE A.~ INVESTIGA nON OF THE FACTS STATED, IN THE FOREGOING APPLICATION AJ.~D FIND m~T THE MAINTENA;.~CE OF SAID ENCROJ\,CHMENT (1) WILL (NOT) S(IBST.~~TLU.L Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHJ:RE THE SAME IS TO BE LOCATED A'ID (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PtJBLIC PLACE; SAID APPLICATION IS THEREFORE (GRA.~TED) (DE~rIED). SAI;D PERMIT SHALL EXPIRE Date: '- SlgDature of City Engmeer No. 7-' /'", ~ " /? ' .' , - CITY OF. BAKERSFIELD DEPARTMENT OF PUBLIC WOR~S 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. tl Cll. Y V ~ S 'gA, (Street for puposed encroachment) of S!;.ne 1< cl.- ~:::r,;z?' . (Address of purposed encroachment) SIGNED: 1) Name: Address: 2) Name: Address: . 3) Name: Address: .4) Name: Address: 5) Name: Address: E) Name: Address: ~ Bv: mClr.' " ~C( ( l... t I c.C( 1M (0 (Owners Name) Phone: ,,,, - ~ 3 S- 7~ , <1 B 1\-i..-,' c,,/l ;L--tr.. , q 7 eJO <; 'JH~Rt} '.OF--A L r4b/7/.tJi; ~7.L/o q,~/t,p Ad, Date: {!X~. II ~ 0-6 Date:~ -IJ-tJP Date: .\ Date: Date: Date: ~ I j ( I I I 11 I 1 ~ PLEASE KEEP THIS PART FOR YOUR REl;UHU::> STATE FARM GENERAL INSURANCE COMPANY 900 OLD RIVER RD, BAKERSFIELD"CA 93311-6000 POLICY NUMBER DATE DUE BALANCE DUE FULL PAYMENT BY DATE DUE CONTINUES THIS POLICY TO... JAN 10 2007 90- XL -4507-3 SEE NOTE SEE NOTE MARTIN DEL CAMPO, MARIA DBA DALISA'S BAKERY 5728 STINE RD BAKERSFIELD CA 93313-3315 BUSINESS POLICY - SPECIAL FORM 3 SAL BRITO CPCU Agent (661) 398-5144 _ Telephone 3072-F784 U PREMIUM $ 500.00 NOTE: Do not pay, Payment is being made through State Farm Payment Plan, Account # 1022896812 ~ 4721034941 538-181 a,6 Rev, 03-97 Printed in U,S,A, PLEASE RETURN THIS PART WITH YOUR CHECK MADE PAYABLE TO STATE FARM DATE DUE SEE NOTE BALANCE DUE SEE NOTE INSURED MARTIN DEL CAMPO, MARIA POLICY NUMBER 90-XL -4507-3 3072-F784 U BUSINESS POLICY - SPECIAL FORM 3 1209604206 Prepared FEB 142006 IF YOU HAVE MOVED, SEE REVERSE SIDE Regional Office Use Only 0420 400611000000000 590634224507311512> Policy Number 90-XL-4507-3 DECLARATIONS PAGE fA' ~ -Q STATE FARM GENERAL INSURANCE COMPANY 900 OLD RIVER RD, BAKERSFIELD CA 93311-6000 A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS r Named Insured and Mailing Address 12-3072-F784 U MARTIN DEL CAMPO, MARIA DBA DALlSA'S BAKERY 5728 STINE RD BAKERSFIELD CA 93313-3315 Cov A -Inflation Coverage Index: N/A BUSINESS POLlCY - SPECIAL FORM 3 Cov B - Consumer Pricelndex: 199.2 AUTOMATIC RENEWAL - If the POLlCY PERIOD is shown as 12 MONTHS, this policy will be renewed automaticallv subject to the premiums, rules and forms in effect for each succeeding policy p'eriod. If this policy is terminated, we win give you and the MortgageelLienholder written notice in compliance W11ti the policy provisions or as required by law. Policy Period: 12 Months The policy period begins and ends at 12:01 am standard time at the Effective Date: JAN 102006 premises location, Expiration Date: JAN 10 2007 Named Insured: Individual Location of Covered Premises: 5728 STINE RD BAKERSFIELD CA 93313-3315 Coverages & Property Section I A Buildings B Business Personal Property C Loss of Income - 12 Months Limits of Insurance llccupancy: Mercant lle Excluded $ 15,000 $ Actual Loss Section II L Busi~ss Liability M MedIcal Payments Products-Completed Operations (PCO) Aggregate General Aggregate (Other Than POO) $ 300,000 $ 5 000 $ 600:000 $ 600,000 Deductibles - Section I $ 500 Basic In case of loss under this policy, the deductible will be applied to each occurrence and will be deducted from the am?unt of the loss. Other deductibles may apply - refer to polley. POLICY PREMIUM $ 500.00 Forms, Options, and Endorsements Special Form 3 Policy Endorsement Terrorism Insurance Cov Notice Amendatory Endorsement Tree Debris Removal Policy Endorsement-Business Registered Domestic Partnrship FP-6143 FE-6506.2 FE-6999 FE-6205 FE-6451 FE-6610 FE-5383 Discounts Applied: Protective Devices Continued on Reverse Side of Page P d OTHER LIMITS AND EXCLUSIONS MAV APPl V . REFER TO YOUR POLICY repare . FEB 14 2006 Countersigned FP-8030.2C BQL3 By 06/1993. . . SAL BRITO CPCU Vour polley consIsts of thIS page, any endorsements (661) 398.5144 and the policy form. PLEASE KEEP THESE TOGETHER. Agent (olf2172b) P~liCY~ Number 90-XL-4507-3 ~ r CONTINUED FROM FRONT SIDE fA) ~ BUSINESS POLICY - SPECIAL FORM 3 Forms,Option~and Endorsements Business Policy I::ndorsement Inc Cost and Demolition Cov Amendatory Collapse Glass Deductible - Sect I Additional Insured Endorsement FE-6464 FE-6587 FE -6551 FE-6538.1 FE -6494 IMPORTANT NOTICE: California law requires us to provide you with information for filinQ complaints with the State Insurance Department regarding the coverage and service provided under thiS polley. Comp-laints should be filed only after you and State Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. Please forward such complaints to: California Department of Insurance Consu mer Services Division 300 South Spring Street Los Angeles, CA 90013 Or call toll free: 1-800-927-HELP Prepared FEB 14 2006 (o1f2176c) (o1f2175a) c .' t\ o..y'(',~ Kd. $ : J-c v.JcJ LAoh d s to.. fe .fly" e~ ~ ~ ~ I I ) 1 . 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