HomeMy WebLinkAbout05-30000096
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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
05-30000096 Date
2300 CARLITA RD
7/28/05
PW - ENCROACHMENT PERMIT
Owner
Contractor
SANCHEZ RICHARD JR & MARY C
2300 CARLITA RD
BAKERSFIELD CA 93304
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
416412
150.00
7/28/05
Valuation
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Qty Unit Charge Per Extension
1.00 150.0000 EA PW ENCROACHMENT 150.00
- - - - - ~;:~:~~ - ~~~:~ -:~ - ~~~:~~~ - - - j 5;-'- - - 5- r ilji - i-j - s/-d"'..i -0 l' -lio-~ ~,~ - ON
P/W PERMIT TO EXTEND BLOCK WALL 472-2542
Do/field - 3;1. II A IjA Fe~cQ
~r{)rJAld to Cor-Ida.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .00 .00
e City Engineer, pursua
unicipal Code Chapter 12.20 to revoke the
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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 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.
A
Signature of City Engin'"'eer - -
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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.
~ read and acknowledge the above.
~pplicant'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: August 17,2005
SUBJECT: Encroachment Permit Application for 2300 Carlita Rd.
Name of Applicant Sanchez Richard Jr. & Mary C.
Description of encroachment. 5' high fence on side of house at Dolfield
Then a 32" block wall on Carlita.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of description of encroachment. The site is located at address of encroachment.
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
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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:
August 15, 2005
SUBJECT:
Encroachment Permit Application for
Name of Applicant
Description of encroachment
2300 Carlita Rd.
Sanchez Richard jr. & Mary C.
5' high fence on side of house at Dolfield
Then a 32" block wall on Carlita.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PE RMITS\ENCROACH\ TRAFFIC\2300 Carlita.doc
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BJ\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: August 12,2005
SUBJECT: Encroachment Permit Application for 2300 Carlita Rd.
Name of Applicant Sanchez Richard Jr. & Mary C.
Description of encroachment. 5' high fence on side of house at Dolfield-
Then a 32" block wall around on Carlita
side.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience. .
~
S:\PERMITS\ENCROACH\I NSURANC"-I nsurance memo. doc
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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
05-30000096 Date
2300 CARLITA RD
7/28/05
PW - ENCROACHMENT PERMIT
Owner
Contractor
SANCHEZ RICHARD JR & MARY C
2300 CARLITA RD
BAKERSFIELD CA 93304
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
416412
150.00
7/28/05
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
P/W PERMIT TO EXTEND BLOCK WALL 472-2542
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .00 .00
e City Engineer, pursuan
o t ;;;:~s Code C~rer ij;~~ fue
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 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 t/ -
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.
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(['f;;;;e read and acknowledge the above.
-16-)Applicant's Initials
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APPLICATION FOR ENCROACHMENT PERMIT
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.
I 1. Full name of applicant and !,omplete address including phone numb:.6c~ ~J,'1p7 ~
I ~~~~\('b.iO J)K.srlncA Cf3~ (j{;J(. LfTl-JSLf;L
i 2. Nature ~r description of the encroachment for which this a~plication is made: re.uinl'vg i 1 t)( l
I: --\0 lP~\ G-f-r ~cle rrf. \-~:)( I~~ '-OC'} Orr\ frr~rrt aro~\ CCfn\<8\
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Ii eo.sk'- .' D ^- -I
I: 3. Location of the proposed encroachment: -ll)€& S(je Cr\ t1- ~C\I
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4. Period of time for which the encroachment is to be maintained:
Applicant agrees that if this application is granted, ap'plicant shall indemnify, defend and hold harmless City, its
officers, agents and employees against any and allliablhty, claims, actions, causes of action or demands, whatsoever
against them, or any of them, 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 encroachment or until such time that this permit is revoked.
Applicant further agrees that upon the expiration of the pennit for which this application is made, if granted, or upon
the revocation thereofbv the CIty engineer. applicant will at his own cost and expense remove the same from the public
propert~ or right of way where the same is located, and restore said public property or right of way to the condition
as near y as that in which it was before the placing, erection, maintenance or existence 01 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 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:
PERt'\fIT
uul 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) SUBST ANTIALL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAi'\1E IS TO
BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PlJBLIC PLACE;
SAID APPLICATION IS THEREFORE (GRANTED) (DENIED). SAID PERt'\1IT SHALL EXPIRE
e Chapter 12.20 to
Applicant acknowledges the right of the City Engineer,
revoke the permit at any time.
Date:j- ~ '} - 0')
Date:
No.
SIgnature of CIty Engmeer
?CITV OF;'" BAKERSt=IELD
DEPARTMENT OF PUBLIC WORKS
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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,
Mtetd
(Street for puposed encroachment)
~d,~,
(Owners Name)
ofli[):) (hr\(+CI gJ
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(Address of purposed encroachment)
SIGNED:
Address:
3) Name:
Address:
4) Name:
Address:
5) Name:
Address:
Phone:&dr Lf7.1-)5Lr2-
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Date: '7.- (). ~ - 0 ~
Dale: 1 };.2-/a-5>
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Dale: ~I ~t2~
Dale: 7 ')~ /OS
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Dale:--(:21/0./
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Date: 7- J J J -/ oS
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-6) Name: - ~ 6...rt 11 0- 80 51 (~ J b v(}-/_
___.___ Address: ~ 3 O~ r_ A ~ I J fAR f] -
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HOMEOWNERS POLICY
AMCO INSURANCE COMPANY
1100 LOCUST ST POLICY NUMBER: HA 0005875553-0
OES MOINES IA 50391-1100 ACCOUNT NUMBER: 949812795
(800) 282-1446
AGENCY SCEALES & ASSOCIATES .INSURANCE Policy Period
BAKERSFIELD CA From: 09-13-04 To: 09-13-05
12:01 A.M. Standard Time
CONTINUATION DECLARATIONS I Effective Date of Change I
NAME INSURED AND ADDRESS
SANCHEZ, JR. .RICHARD
SANCHEZ, MARY
2300 CARLITA RD
. BAKERSFIELD, CA 93304-7098
The 'described residence premises covered hereunder is located at the PREVIOUS POLICY NUMBER HA 0005875553-9
above address, unless otherwise stated herein. (No., Street, City, Stale, Zip Code) WELLS FARGO HOME MTG INC #472
ITS SUCCESSORS &lOR ASSIGNS
PO BOX 6502
SPRINGFIELD, OH 45501-6502
SECTION I SECTION II
A. DWELLING B, OTHER C. PERSONAL D. LOSS E. PERSONAL F. MEDICAL PAY
STRUCTURES PROPERTY. OF USE LIABILITY EACH PERSON
ACTUAL LOSSES SUSTAINEO
114,700 11,470 80,290 IN 12 MOS. 300,000 1,000
COVERAGE AND LIMITS OF LIABILITY
FOR LOSSES ARISING UNDER SECTION I, WE WILL PAY ONLY THAT PART OF THE LOSS IN EXCESS OF $250.
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COVERAGE DESCRIPTION PREMIUM COVERAGES DESCRIPTION PREMIUM
tlA::i11.;
H03 01/00 SDecial Form 424.00 10940 07/89 CA Ins Guarantee
438BFUN 05/42 Lenders Loss Pay 11796 02103 CA Res Prop Dis
IN2000 12/90 Important Info INOOOO 01/02 Privacy Stmt
H0300CA 01/04 Spec Provisions IN2004 03/04 Consumer Info
IN2264 09/02 Merit Rating IN2327 01/04 Important Notice
H0216 01/00 Prem Alarm Prot 8.00CR 12567P 05/03 Replacement Cost 8.,00
12559 09/99 Per Prop Repl 12669 01/00 Back-up of Sewer 16.00
12673 11/03 Protection Plus 16.00 H090 05/02 Calif Work Comp
12747 12/01 Fungi/Bacteria
TOTAL PREMIUM 456,00
.
Additional
Residence INSURED AT 100% OF REPLACEMENT COST
Occupied RETENTION CREDIT 10%
By Insured
Mortaaae Loss Payee or Other I nte rest
Loan Number 1777682
WELLS FARGO HOME MTG INC #472 1ST
ITS SUCCESSORS &lOR ASSIGNS MORT
PO BOX 6502
SPRINGFIELD, OH 45501-6502
AMCO INSURANCE COMPANY
Authorized Representative
DIRECT BILL 0000 04214
INSURED COPY
949812795 78
34609
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