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Home My WebLink About05-30000094 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 05-30000094 Date 1200 LUCERNE DR 381-400-04-00-6 PW - ENCROACHMENT PERMIT 7/25/05 l&~l) 411-$ J'C(Lf Owner Contractor MEZA FERNANDO 1200 LUCERNE DR BAKERSFIELD BAKERSFIELD ( 66) 836-3674 OWNER/BUILDER BAKERSFIELD CA 93301 CA 93307 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 413385 150.00 7/25/05 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments P/W PERMIT 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. ~/VIAaAAd~ ~ Signature of Applicant (Ow 7 Agent) -F. y Vl 0\ VI do VV1 e 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 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 6gineer - ----- 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. erec~ion, maintenance or existen~e 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. E:.M Applicant's Initials --------- ',,- 4 . ~ 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 1200 Lucerne Name of Applicant Meza Fernando Description of encroachment. 4' fence behind sidewalk on Lucerne 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\1200 Lucerne Dr"doc 05 - 9Lf ~ . - B ~-'\. K E R S FIE L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 27,2005 SUBJECT: Encroachment Permit Application for 1200 Lucerne Dr. Name of Applicant Meza Fernando Description of encroachment 4' fence behind sidewalk Please review the attached encroachment permit and return to me at your earliest convenience. ~5' (Db (),t:--. ~ S:\PERMITS\ENCROACH\TRAFFIC\1200 Lucerne Dr..doc ~ . - B~~KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 25,2005 SUBJECT: Encroachment Permit Application for 1200 Lucerne Dr. Name of Applicant Meza Fernando Description of encroachment. 4' fence behind sidewalk Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. ~ S:IPERMITSIENCROACHIINSURANCI1200 Lucerne Dr..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 . . . . . . ATN (11 Digits) : Application type description 05-30000094 Date 1200 LUCERNE DR 381-400-04-00-6 PW - ENCROACHMENT PERMIT 7/25/05 Owner Contractor MEZA FERNANDO 1200 LUCERNE DR BAKERSFIELD BAKERSFIELD ( 66) 836-3674 OWNER/BUILDER BAKERSFIELD CA 93301 CA 93307 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 413385 150.00 7/25/05 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 ---------------------------------------------------------------------------- Special Notes and Comments P/W PERMIT ---------------------------------------------------------------------------- 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. ~aMdo ~ Signature of Applicant ( wnerf Agent) ~'C V\aV\d () Print Name IN\ela 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 ----- 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 --_/ :->,. " , , , APPLICATION FOR ENCROACHMENT PERL'\'IIT 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 defmed. 1. Full name of applicant and complete address including phone number:~e. >( Y\.O. 11\ d 0 VVI~ ~ 'lOo lucerVle~ Do(' Q3301 ('hi) 83fa-,56~'{ 2. Nature or description of the encroachment for which this application is made: is\'" l~r k- pi /1-er<} WI ~ t=="".e..\ltr €- tllOVl~e 51' d e Wed I< o +- '^ n iM.e' (A~ 3. Location of the proposed encroachment: ~F -ro '^ 4- YtA.'rd 5."rle w~~k. 4. Period of time for which the encroachment is to be mairitained: Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hannless City, its officers, agents and employees against any and allliabihty, 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 furth~ agrees that upon the expiratIon of the pmt for which this application is made, if granted, or YQQn the revocation thereofbv the CIty engineer. aoolicant will at his own cost and exoense remove the same [rom the oublic prooert~ 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 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 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: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Date: ']-;( 5 - 0 -S -+-0 I\AA {'AlIA rL-.. ~ Sign~Me~f'Applicant (Ow.eer or RepresentatIve) PERi'lIT I HEREBY CERTIFY THAT I HAVE MADE A.~ INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION A.~D FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE Pl.JBLIC PLACE WHERE THE SA.J"lE IS TO BE LOCATED AND (2) Wll.L (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (DENIED). SAID PERi"iIT SHALL EXPIRE Date: SIgnature of CIty Engmeer No. r I "" ; CITY OJi~AKERSFIELD DEFARTMENT OF PUBLIC WORKS . 10 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. IUL.el(\I\~ Dy- (Street for puposed encroachment) Bv: rf>_,{v\o..\f\d 0 VV\.e~ (Owners. Name) of' 1200 (Ad~ress of purposed encroachment) Phone~ 03b-6b 74 SIGNED: ' 1)A:::S: fJ:/t;JJ:;.~ :fP~ 2) Name: Ei~MjJfb ~~ Address: . ~/:J~/Jv'y ?~]/3 3)Name:~f ~\~ Address: -12-1 L (.1.J~A1e-OfL !J53o? 4) Name: /~vcb ~fJ1fnr_'Z-- Address: floC{ LUc..<..--rfllJL Or- Date: ~~.3 h~'S- , . Date:t!2i)1J r ( I Date: thV," r- Date: ~/?S/ CJS 5) Name: Address: Date: 6) Name: Address: Date: -(.- SPECIAL FORM HOMEOWNERS FIRE INSURANCE EXCHANGE, LOS ANGELES, CALIFORNIA A Reciprocal Company TRANSACTION TYPE: CHANGE IN COVERAGE The Policy Period is effective (not prior to time applied for) at described residence premises, ~ FARM E RS'@' ~ DECLARATIONS HOMEOWNERS Replaces all prior Declarations, if any ....-....-.------.--_._------_............. /..U..POtltiKIIAIBfIl-{.......... .._........-.......-...----. 04 ........ffi~lqEllIllM....... ISSUING OFFICE: 'P.O. BOX 1900 PLEASANTON, CA 94566 This policy will conlinue for successive policy periods, if: (1) we elect to continue this insurance, and (2) if you pay the renewal premium for each successive policy period as required by our premiums, rules and forms then in effect. 92739-34-93 INSURED'S NAME & MAILING ADDRESS: FERNANDO MEZA AND PERLA R MEZA lOCATION OR DESCRIPTION OF RESIDENCE PREMISES: (Same os mailing address unless olherwise sloled.1 1200 LUCERNE DR BAKERSFIELD, CA 93307- DESCRIPTION OF PROPERTY COVERAGES - We provide insurance only for dlOSe coverages indicated by a specific limit or other notation, .---_....... -----.-_........-..-------_....-.. ..-----"_..- -----_.__.......--.-.---_........... .. .... -.----.-_..........-.--.-_.......... ..---_...... --.--------_...--.--------_......... .. .-. ....---............ --.----........ ..... .------------ ....--.-.-----._...... .. ................AH.. . N'U' A' "L ........... .......-- - .-,_..._-- .. .. .-.- .---_..... .. .....-. .---..---- :.:.:.:-::::::::- - :-::::::::::::::::::: .. ...-- -- -......... ...-.---.-_..........--...........-- .. ......--..-----_..........-.... ><PREMIUM .--.........-----.-...... $144,000 $14,400 $79,200 $383.01 ENDORSEMENTS ... -- -- --- --.. ....-- .-------- ...............lliiirur..T..... ............>INlhm:!lmm ................ . ....................\KlIMBER}?........ CA015 E4040 E4207 E6044 E6046 E6048 E6l79 E6268 H6106 H6l14 lED lED lED 3ED 2ED lED lED lED lED 2ED ENDORSEMENT AMENDING SECTION 11- LIABILITY,COV-PERSONAL L ENDORSEMENT AMENDING SECTION II - EXCLUSION EXCLUSION AMENDING SECTION II - LIABILITY BUILDING ORDINANCE OR LAW COVERAGE ENDORSEMENT EXTENDED REPLACEMENT COST MODIFIED LOSS SETTLEMENT PROVISION FOR ROOF AMENDING SECTION II - LIABILITY EXCLUSIONS AMENDING DEBRIS REMOVAL COVERAGE AND POLLUTION EXCLUSION SPECIAL LIMITS ON SPORTS CARDS AMEND SECTION I - LOSS NOT INSUR NB-SPF TP PTP IMPORTANT NOTICE - ADDITIONAL ENDORSEMENTS SHOWN ON BACK DISCOUNTS NEW HOME, AUTO/HOME, ACV ROOF, NON SMOKER, HOME SECURITY, AND EXPERIENCE RATING PLAN DISCOUNTS HAVE BEEN APPLIED TO YOUR POLICY. DEDUCTlBlES POLICY ACTIVITY $500 Deductible is applicable to covered losses under Coverage A, B, C. $ 5 . 84 CR Previous Balance 12.28 Premium Fees ANY iOTAL. BALANCE OR CREDIT $7,00 OR LESS WILL BE APPLIED TO YOUR NEXT BILLING. BALANCES OVER $7,00 ARE DUE UPON RECEIPT, CREDIT Payments or Credits $ 6.44 Total DUE INSURED PAYS 111is Declarations page is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all other terms of the policy. AGENT: Maxima G. Sanchez AGENT PHONE: ( 6 61) 213 - 37 58 AGENT NUMBER: 9 5 41 3 6 5 Countersignature ~-(l{~ 56-5279 4TH EDIllON 1-05 92739-34-93 (Continued on the Reverse Side) (5279411 06-27-2005 C " Additional Premises Section II - P"'1'"~ of"~ i, ~,i""'titi, "Db ''',ed oilim.e. Outboard Motor over 25 horsepower (Singly or Combined) - Section 11 MOTOR A: MOTOR B: ] MESSAGES THE LIMIT OF LIABILITY FOR THIS STRUCTURE (COVERAGE A) IS BASED ON AN ESTIMATE Ol~ THE COS~~ TO REBUILD YOUR HOME, INCLUDING AN APPROXIMATE COST FOR LABOR AND MATERIALS IN YOUR AREA, AND SPECIFIC INFORMATION THAT YOU HAVE PROVIDED ABOUT YOUR HOME. ASK YOUR FARMERS AGENT ABOUT MORTGAGE PROTECTION. INSURED PAYS PREMIUM. THlfl POLICY DOES IN~LUDE BUILDING CODE UPGRADE COVERAGE. IN 'l'HE EVENT OF A LOSS, AT ANY TIME, CALL US AT 1-800-HELPPOINT (1-800-435-7764) MORTfjAGEE OR OTHER INTEREST: LOAU NUMBER 0071328678 AMC MORTGAGE SERVICES INC ISAOA PO BOX 11056 ORAl/GE, CA 928~;6 - 8156 ADDITIONAL MORTGAGEE OR OTHER INTEREST(S): LOAN NUMBER 0071690119 ARGENT MORTGAGE COMPANY LLC P.O. BOX 110556 ORANGE CA 92856- MORTljAGEE'S BILLING ADDRESS: AMC MORTGAGE SERVICES PO flOX 11056 ORANGE, CA 928~;6 - 8156 -- ADDITIONAL ENDORSEMENTS ., --lf6221 -. - J6063 S904=) S9072 438BFU 258531 TED- -- lED 3ED lED 542 1104 ENDORSEMENT AMENDING SECTION II - EXCLUSIONS AMENDING SECTION I - CONDITIONS LOSS SETTLEMENT SPECIAL STATE PROVISIONS - CALIFORNIA ENDORSEMENT AMENDING RETURN OF PREMIUM LENDER'S LOSS PAYABLE ENDORSEMENT CALIFORNIA NOTICE OF INFORMATION PRACTICES 56-5279 41H EDITION 1-05 (5279412 P.O. BOX 1900 PLEASANTON, CA 94566 FERNANDO & PERLA MEZA 1200 LUCERNE DR BAKERSFIELD, CA 93307- T1068102 k \ \ 1- . ~l .... 4' , ,.;---. t \ \ 1\ . ,.,'12., I) 11.'\ L I~ z" W..' ".~o iC ..' ". - . . . ... ----~..-. .,;;.__.--..-.-::.:__--...-.:..._--1.....-... o -............. . d A --..... ~ \J.t'\: ~ ~ '( () \)Y' OJ ~(.J + ,. t1:J ............ ..----... .---.----.-----...... .,3..%.;' ---",,,-,_._,,~"""-"':"'- =::::,.-::'..-..,~...,.- I II i'Z.. ~y/ -e> n' c...\L w<;l' 1 011 ...J So ~ { .... ~ z ~ -e 0. ;) -t- ~e V'(e ' 1 I 'OCA c..\L yo- "J ( L( I y ~\\ ~2.5' . \. L?'~ 'Y' 0 -.) 801 a-.(),.e..- G-(.~ (J ~(()\^-+ yo.(d ...r 0. '/ \)~" ~ e.,... N -'4.- ~<'\.o- ~--== ~; \IV - ------I " - '"'\ // I I "'01 k I ~ Y \, __. /~/------ /,y /./ !. ~-- ~ ~'( e,.,-L +