HomeMy WebLinkAbout05-30000090
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
05-30000090 Date
1904 BROOK ST
010-140-01-00-7
PW - ENCROACHMENT PERMIT
5/09/05
Owner
Contractor
HERNANDEZ PATRICIO A SR OPHELI
1904 BROOK ST
BAKERSFIELD CA 93307
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee
Issue Date . . .
ENCROACHMENT PERMIT
370270
150.00
5/09/05
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
p/w permit to install fence in front
yard 397-6436
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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Print Name
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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.
Signatu~~ginee?--
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.
/J'#Aread 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: May 23,2005
SUBJECT: Encroachment Permit Application for 1904 Brook St.
Name of Applicant Patricio & Opheli
Description of encroachment. Instal/4' fence in front yard.
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\1904 Brook St.doc
05c-90
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 19, 2005
SUBJECT: Encroachment Permit Application for 1904 Brook St.
Name of Applicant Patricia & Opheli Hernandez
Description of encroachment Instal/4' fence in front yard
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\1904 Brook St..doc
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B~L\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 19, 2005
SUBJECT: Encroachment Permit Application for 1904 Brook St
Name of Applicant Patricio & Opheli Hernandez
Description of encroachment. Install 4' fence in front yard
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
1#
S:\PERMITS\ENCROACH\INSURANC\1904 Brook St.doc
CITY 01=: BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
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TO WHOM IT MAY CONCERN:
We the undersigned I have no objection to the construction of a fence beside the
sidewalk within the public right of way.
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(Street for puposed encroachment)
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(Owners Name)
of 1'10!j tL f} cd /9ol/f9 8(olJJ< 51
(Address of purposed encroachment)
Phone: ~~ / -3 ~ 7 -6YC3:(;
SIGNED:
1) Name: .~ ~4lwnd
2) Name: Jija
Address:
Date: S-1-Ci:)
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3) Name:
Address:
Date:
4) Name:
Address:
Date:
5) Name:
Address:
Date:
6) Name:
Address:
Date:
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APPLICATION FOR ENCROACHMENT PERi'\UT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the provisions ?f~hapter 12.2Q oftheBakers~eld Municipal ~ode, the undersign~d applies f()r a permit
to place, erect, use and mamtam an encroachment on pubhc property or nght-of-way as therem defined. .
1. Full name of applicant and complete address including phone nwnber:'W-r 1'(' /i D Q J-/p ( f7(f nrlp L
ICJOL/S '('or> K .5T (i VI ri L3 OLi ,~A'('DDK Sff;(dP1 ~'7-(d/&'
2. Nature or ~criPtion of the encroacbm~t for whicb this .application is made~ I Oi(l ~ - ,(\ d Q
L )r~" ~ I rOLl ::f-.,A"rl <' fA), -I-h Ci f2,r'r'!S. ~ rll1d ll-+/~ (1 .
3. Location of the proposed encroachment: la/Del f>~()?)1< (-cnrl )qt){J~BF"OC?j( ST.
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4. Period of time for which the encroachment is to be maintained:
, AI'plicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless 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 further agrees that upon the expiration of the permit for which this application is made, if granted: or !:IDQ!!
the revocation thereofbv the Cltl.' engineer. applicant will at his own cost and expense remove the same from the public
prooertv 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 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:
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time.
Date: ~ ~~1 ~~~/b ~-' ~ ~ "' - 9/2.-
, , Signa eo App lcant (Owner o~ resentatlve) ,
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE At~ INVESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL
(NOT) SUBST AL~TIALL Y 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 PER..'\IIT SHALL EXPIRE
Date:
No.
Signature of City Engmeer
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~::"lb. -WHAT IS AN
ENCROACHMENT
PERMIT?
REQUIREMENTS FOR
ENCROACHMENT
PERMITS
An ENCROACI.-IMENT is defined as any
permanent or temporary fixture such as a
fence or any olher facility which intrudcs into,
upon, over or under any street, alley, sidewalk
or public way now open or dedicated or
which will he dedicated lo puhlic use or any
properly belonging to the City but docs not
necessarily prevent puhlic travel.
(NOTE: Signs inlhe ciLy righL-of-way are
illegal per the City Municipal Code. No
encroachment permits will he issued for
signage,)
I. Plot plan showing location of pro-
posed encroachment. To be included: Mate-
rials used, height or encroachment, type or
encroachment. (IE - 4' high chain length fence
along back of sidewalk.) Show dimension to
curb line.
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2. S.ignaturcs from surrounding neighbors
slaling They have no objection to the proposed
encroachmenl 10caL~d at (address of en-
croachment). (Suggcstion on who needs to
sign: I I' they C."I see it from ,the i r properl y, they
need to sign.)
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3. Insurance:
I-Iomcowner-policy with $300,000 liability
Commcrcial--$50().OOO liability insurance.
Policy to he reviewed hy Risk Management.
4. Expiration date, if applicable. (If not, I
indefinite)
5. ~/~~ennit Fcc, Permit will Slay
wilh Ihe properly, nolthc owner. Irlhe prop-
erly is sold, the new owners will have samc
responsibility for maintaining encroachmcnt as
the former owners.
6. Applicalion will hc revicwed hy
Puhlic Works. After the 100:ation has heell
field inspected, Public Works stall makes any
comlllents or restrictions. After reviewing the
recolllmcndations and verification from Risk
Managcment on insurance, the application is
sent to the Public Works Direclor for final
, approval.
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Patric;o A. & Ophelia Hernandez
1904 B~ook S~reet
Bakersfield, CA 93307
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THI: POLICY .S SUBJECT TO THE PREMIl,JMS. FORMS, AND RULES IN EFFECT FOR EACH POLlCY PE.RIOD. SHOULD THE
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE AODITIONPo.L INTEREST lDE\llTlF lED BELOW DAYS
WRmEN NOTICE, AND WILL Se~D NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFfECT THAt
INTEREST, IN ACCORDANCE WITH THE POlleY PROVISIONS OR AS REQUIRED BY LAW.
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INSURANCE seRVICE CENTER
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MAY 9, 2005 @ 5:54P BY MM
FAX: 661 397 6436
Veri6cation of Coverage
RE:
Insured:
Policy:
location:
PATRICia & OPHELIA HERNANDEZ SR
444-0018398537~
1904 1/2 BROOK ST, BAKERSFIELD CA 93307
Dear Sir or Madam:
This letter verifies insurance coverage for the customer listed above.
Effective Dates:
Description:
Serial Number:
Lienholder:
03/03105-03/03/06
1983 WOODCREST
NB7305
em FINANCIAL. PO BOX 6669, BAKERSFIELD CA 93386 LN # 67050Q510201392 TRINIDAD
STELLMACHER. 5405 STOCKDALE HWY#104. BAKERSFIELD CA 93309
The policy includes the following coverages and corresponding limits, subiect to the terms condition~. and
exclusionq fOWld in the polic;y iacket as well as any applic.able endor~ments:
Coverages Limits
COMPREHENSIVE MOBILE HOME $16,000
PREMISES LIABILITY $300,000
Deductible: $500
Total Annual Premium: $220.00
These coverages are provided by FOREMOST INSURANCE COMPANY
The actual policy document.. will be sent to you within 14 business days. If you have any que...tions about this
verification or need more informatioD, just call us toll-free between 8;30 a.m. and 8:00 p.m., Eastern time, Monday
through Friday, at 1-800-237-2060.
Cordially,
62(~zL4]~
Priscilla Van Dussen
Assistant Vice President
Foremost Insurance
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