HomeMy WebLinkAbout03-30000027
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 Nwnber . .
pin nwnber . . . . . .
Property Address . . .
Application description
Owner
MARTINEZ MICHAEL & LUISA
3508 LIMESTONE CT
BAKERSFIELD CA 93313
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
03-30000027 Date 6/20/03
1567
3508 LIMESTONE CT
PW - ENCROACHMENT PERMIT
Contractor
OWNER/BUILDER
BAKERSFIELD
CA 93301
-----------------------------------------------
ENCROACHMENT PERMIT
99325
145.00
6/20/03
Valuation
o
Extension
145.00
Qty unit Charge Per
1.00 145.0000 EA PW ENCROACHMENT
-----------------------------------
Special Notes and Comments
PERMIT TO MOVE FENCE OUT TOWARD SIDEWALK
ANOTHER 4' .
Fee swnrnary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 145.00 145.00 .00 .00
Gr~d Total 145.00 145.00 .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.
b J/}/4J cm~(~
t Signature of Applicant (Owner! Agent)
d /J1;d~1e, I
7 Print Name
/??ar~L L
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
THEREFO~D) (DENIED). Said permit shall expire on date stated above.
0~
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 perinit 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 bath and required endorsements evidencing the insurance required.
,Jl have rea~ and, ack~~wledge the above.
"I ~ppllcant s Imtlals
f
'i .,
4
.
~
/ ~'."-
~ [;;:/"
~'l]Y;1 ,
*;o\'J- '
B A K E R S
FIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
July 15,2002
SUBJECT:
Encroachment Permit Application for woodfence 3' behind sidewalk along the side yard
Michael & Luisa Martinez
3508 Limestone Court
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of
a wood fence, 3' behind sidewalk along the side yard. The site is located at 3508 Limestone Court.
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 a.I212.Loval of the permit.
-'
S:IPERMITSIENCROACH\2003 Permitsl3508 Limestone Ct.doc
O?;-;) 1
.),0; 't
~.
t~_..._.",
-,
--J
~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: July 7,2003
SUBJECT: Encroachment Permit Application for: 3508 Limestone
Michael & Luisa Martinez
Wood fence 3' behind sidewalk along side yard.
,?~
~l'Z-'1
ff
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\E NCROACH\I NSURANC\5508 Limestone.doc
,i" f
~~- ~.......-"'.,.,...~-
JVS
-'dCS, Y\ '0
'~
\;
~
3 ~'O~ L;,.,es.fonJ- C~ \
/ \
"
q 3313 (/7J'dA \,
J-~o~.J \
\
[-:~; -r
~
CS:'i> \J A
~J\i~
.- -
,
6
7~
I .
'I
, ~I
,~
r
~ II
f
'1'
1-
I
I
7s1
---
_ -eurf'etl-\-
te~'-~
7 I ~Oll\;\
s\a (. wa.\ 'K
- pro pt)S~d
~ef\c..e
:$ ( -h--o~
~~4ewa.\" ~
8 I ~-r lAkLr'"
.'
APPLICATION FOR ENCROACHME~E~;; b t:t1JlJ ;a ,
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.
m,c:;J1(l~/ M~r-~rneZ-
q ~"3 CS ~G ().s1 b ,?clJ'f
I / /1 /AJo6de
I. Full name of applicant and complete address including,phone number:
3S()g L/rne5 -k...e. Cf :& I:e./'s~; ~ Id, C4
/ .
/prl::J~e/')
4. Period of time for which the encroachment is to be maintained: pe r rv-tl-.", e ~
,
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hannless 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 adm inistrative, quasi-judical,or judicial 'tribunals of any kind
whatsoever, arising out of, connected with, or caused by applicant's placement, erection, use (by applit!ant 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 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 the revocation thereof by the City eneineer. applicant will at his own cost and expense remove the same
from the public prooerty 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 Insurance evidencing sufficent coverage for bodily injury or property damage liability or both and required
~dors~ments ~id~ncing the insurance required. The type(s) and amount(s) of insurance coverage is:
Oed, \~ .J-f\ '~('E:
r.....o Q. - 'D mo..a e L "'oJ:, ~ I~ '
Applicant ack wledges the r ht of the City Eng' eer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
::~eth~/;;i~time. . ;n;cdJ M~
( I Signature of Applicant (Owner or Representative)
.
PERMIT
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 (I) WILL(NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE
PUBLIC 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
Date:
Signature of City Engineer
No.
.;~ . CITY Of. 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.
braFltk Sf:-
(Street for puposed encroachment)
By: fYl/Jtle-1 /Ylar-A~L
(Owners Name)
of 35D8 i/h1es ~..e C..L;
(Address of purposed encroachment)
Phone: ~GI) 390 8' 9! Y
SIGNED:
1) Name:
Address:
2) Name:
Address':
3) Name:
,~ Address:
4) Name:
Address:
5) Name:
Address:
6) Name:
Address:
n
!' <2. 1:-
-J~~v;ol hs+ev-
-S- f ) ~. (, ~""-:+~ S+
.,,"'
&//B/o '3
'" ~
Date:
.-r-'
VE'ss /L-?oRC1/7
S(OJL~Q;~
~I[\!\Q
6(~ Df()Y\~w) ~
~r^\o\~\f\ ~lq~<7oVJ
~\O\ . G'fQ\f')\ =r 5~
-
~'& ffieA~-
'5, . 0{'Cc/'L!~7~ 0- ,n~~s'
933) -3"
Date: 5-lf'" d j
Date: k13- D~
Date: G~ \~ - 0'0
Date: 6 -- 11"-- 0 -:J
Dete:
0'
'.
~
r
~
V'
0--
~
Q
,
j.,s
f)
3J~ ~ ~ <::>
~
I
. ,--_. . -
~
\
~
~
.I~ '.
" 'j
Jun 20 03 12:28p
WGA CUST SVC
818 762 5090
p.2
.. -...
.. ... '" ,...
.........., ,. .
..... .... -.,,'. .,. .
'." ,....-... .....
...".... . ." .. .
,........._p .,_.._H
.......-,.... ....
,.. ,......... .. ......
.... ..............
~.~:.:..:..:,~.:.:.:,.:
;,.:~:gml'~Jj~:~Ji1~,j::J:).:~:.IJ:,II.:~,II~IISI::~:J;n::.:;.::.:~:;\:;:::i.:'i;i:i:.:.\i;I.:ij:::;:;i;;;~~:6~i::;; "':09"7", 8 ';";662" .......
Century-National Insurance
12200 Sylvan Street, Ste. 140 N. Hollywood. CA 91606
KERN SCHOOLS FEDERAL CREDIT UN
ITS SUCCESSORS AID ASSIGNS
PO BOX 40490
BAKERSFIELD CA 93384
Agent
800-942-4942
SECURIAN FINANCIAL NETWORK
INC
12200 SYLVAN ST STE 190
N HOLLYWOOD CA 91606
Insured
MARTINEZ. MICHAEL & LUISA E
3508 LIMESTONE COURT
BAKERSFIELD CA 93313-3073
THIS IS TO C"llTI~Y THAT THE POLICIES OF INSl;RANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHS7ANDING ANY REQUIREMENT, -rERM OR CONDITION O~ ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN. THE INSURANCE AFFORDED BY THE I'DUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY
HAVE BEE'" IIF-DllCED DY PAID CLAIMS.
Type of Insurance:
Homeowner
Policy No:
HC12218084
Policy Prem: Effective Date; Expiration Date:
Loan No:
$413.00
07 130 12002 07/30 I 2003
2009550.31
Coverage Includes Extended Replacement Cost Protection On The Dwelling.
Propeny Loc;
3508 Limestone COllrt
Ba kersfield
Ca 93313-3073
.., --, ",-. ... .,.-- ". . - . '.... "- ",""
. .. ." - . .'.. . ... ---". ., , . -- .. ..
SECTION I ~.. f>ROP'I;RTYCPV!=RAGE LIIVIIT$
A
DWElliNG
B
SEPARA TE
STRUCTURES
$14,000
C
PERSONAL
PROPERTY
$98,000
D
l.OSS OF USE
E
PERSONAL
LIABILITY
F
MEDICAL PAYMENTS
TO OTHERS
$1 ,000
$140,000
$56,000
$300,000
each occurrence
each person
... .,- ",-,
. -...... . , .. .....'... - - -. .... ......, ... ,
... LOS~_rJ:_~~ctibleJ?!~~~nil:Jg'~r?p, ClJ"'~' $1.000...
........ {) .'iE~l"thquak~p~~PI?H6ie;:}Nk~~r~hqY~k~'. (:o(.erage
"', ..
"', ...., ..
,.', " ',.. .,',
,.,,'..... ", '.
... -. ..
. "," ..."" .,
, .. . . .... " ,
I Coverage Forms I Form Numbers
Special Form - Homeowners Policy
Replacement Cost Composite
Increased Limit for Coverage E & F
Ordinance or law Coverage
Premises Alarm or Fire Prot System
Lender's Loss Payable Endorsement
WG HO 300 (7/91)
WG HO 301 (7/91)
Section II
HO-277 (4f84)
HO-216 {4f841
438BFU NS (5/42)
eeRT:ifl:pAn;lttg:fQ:~:f(~.\:;~j')r~J:1~;r,~,.;,;;::{~~:~~~~f~::: ..
. '::,;'::':..,.,.."
..::.:.:;:..::;'i....:::::,::.:i::;.::::::Q.Ai~ie~Q;AmtQN.
, , ::>:.:.:. .':.~.;.:-:-;- ,'. ','.', . .':':. .. ..
:::::::,:::;::.:_:::::':':::':::~.:::,::::::~:':::':' .. :.:.:.:. . .:.:.:.:.:.:.:.;.-::::::;.;.;.;.;.;.;:.
.'.- ,'" ... '.', . . ..............~ .:.'.....'., .:-..'.............-,
.':.:-: ::.:.:.:-:.,-:.:':.:':.:.:.:....:~':':-:<.:' ,.:.:.:.:.:.:.:.....:..':':.:., ';'.';',':',':':':.
KERN SCHOOLS FEDERAL CREDIT UN
ITS SUCCESSORS AIO ASSIGNS
PO BOX 40490
BAKERSFIELD CA 93384
THE POLICY IS SUB.JECT TO THE PREMlllMS. FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD.
SHOULD THE POLICY BE TERMlf'lATED. THE CDMPANY WILL GIVE THE CERTIFICATE HOLDER SHOWN TO THE
LEFT AT LEAST 30 DAYS WRITTEN NOTICE (EXCEPTION FOR NONPAYMENT OF ONLY 10 DAYSI. Ar~D WILL
SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN
ACCORDANCE WITH THE POLICY PROVISIONS OR AS REOUIRED BY LAW.
AUTHORIZED REPRESENTATIVE.
\-\fGOO 14 fD:S('}
1IIIIn ~IIIIIU Iml !Ilrm~]f~ ~~ililillllllllll 1111
1-.-'"' .- ."i
~ i.
... - L ,.
~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: July 7,2003
SUBJECT: Encroachment Permit Application for: 3508 Limestone
Michael & Luisa Martinez
Wood fence 3' behind sidewalk along side yard.
Please review the attached encroachment permit and return to me at your earliest convenience.
7/10!{)'2
6'(JA
fvl\O P
S :\PERMITS\ENCROACH\ TRAFFIC\3508 Limestone.doc