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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. ~ ~ (r a.. 7/wu~ Print Name Co. . ~ /' ,// ~ /-1 c/ """ 2...S' -"1.. 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 ------ - ..... ~ . - 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 ~ . ~ 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. 5'1 zoj ()~ ~ S:\PERMITS\ENCROACH\TRAFFIC\1904 Brook St..doc ~ . - 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 .-, ~} 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. /9o-tj /bfIJDI< ~T (Street for puposed encroachment) BV:fMj;~ tJ AU/TJ& ~ (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:) Date:5 - 9-c:;c ~ 3) Name: Address: Date: 4) Name: Address: Date: 5) Name: Address: Date: 6) Name: Address: Date: J ~~e/d 131' 00 /c 5'?- -:-:-:-~ ---...-~""-.._- ..F.' -<" <" ~ -z... . ,j., ~ A- /3:' >~ ~ t:-' ~ ~ -v---t' J- 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. ..1!-:-: ..:,,-..... \ .~;:- 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 R-i \2....' H er/VsNde-z- L..ofs ?~<'0~ ~OE-w~c. ~'" -- / l~(.... ~ 5' -, '.~f.j, ~< Y?cfoSe:-O 4' 1-41<:::M ?::J-ct.X-1 ~'ZDL\Gt-\T I ~ ~CE N ~::"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. ~ \-\C .;,..-.- 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.) <I.:::'7""~-::~"", , - "' ~\~ ~57h'"' / / \ ./ 'y/'~/ -/ x , 3. Insurance: I-Iomcowner-policy with $300,000 liability Commcrcial--$50().OOO liability insurance. Policy to he reviewed hy Risk Management. 4. Expiration date, if applicable. (If not, I indefinite) 5. ~/~~ennit Fcc, Permit will Slay wilh Ihe properly, nolthc owner. Irlhe prop- erly is sold, the new owners will have samc responsibility for maintaining encroachmcnt as the former owners. 6. Applicalion will hc revicwed hy Puhlic Works. After the 100:ation has heell field inspected, Public Works stall makes any comlllents or restrictions. After reviewing the recolllmcndations and verification from Risk Managcment on insurance, the application is sent to the Public Works Direclor for final , approval. Ma~ 12 05 02:53a 05-09-05 v~] :511,~Fr..-WAL~_R..~~TENS:N INSUR~CE . ~ 661-834-666Z T-BZl POllOI F-e4:' 1 ACORD.. "'~~lW~f4.~!tE~1~~rYi!:,~t}~i~~~~i!!~it~?ll{(\'~';i'!'~~'1""~;J""'. '-rt:iIS\S'EVIOENcETHATINSuAANCEAS'IDMIFietiBEU)W HAS BeEN ISSUED, IS IN FORce, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDe~ 'THE POLICY.. . .. .. -.."'" '.' 'It(iDUCI:R..... "':PHoNf."" . (661)'834'';'-6222' .'. _.' '... '. 'ctiMPilNY"- ...., ...-. ,.-'.' ,.. ,.., ~a' ter foIortenSen In~~~~~':~:'i1\C---""""""""'''' ..... ...... .-...... A/I1er; can Modern .ice~s~ ,g0267 303 Lennon Lane ~701 Stockdale Hwy ~alnut Creek. CA 94598-5913 Bakersfield, CA ~l309 COM: 8050'37' .. n_' .... ....... AGENCY OOOOi38'~- ~T~i.f,R.!tu. . .. ....... .......' ..... ........ .. ..-..............-...-....... .... ..... ........ 'LoNiwii.ia'R'" ..' -..,.... 'poucv'NiJ'y~""" ....' 0770002549888 "1 ..-..............'".. ,..-."... .... SWi~: ____ 'n Patric;o A. & Ophelia Hernandez 1904 B~ook S~reet Bakersfield, CA 93307 -.'''' "i!fli&cm;Ei):i.Ti" O~/lon005 .. "&XARAl'.oNOATe 03/10/2006 COIolTII<UED lJNTIl. TERMlNI\ TeClI~ CHECKED TKl5"~S'PiiiOR f..nliEHet O;;Tiii" t~!}~J.~~Pi~l~~!;]!ili.i!1~H&~lf.~}:;;'itif.nfj,~f;:*'.;.~:iJi.5:'i'?{:.{{;at~f$*:i;;';;;~i.~~;;.'Th*,;.tmtl~tfJ.fg~i.'tl;~iG;tli.:C;2~'t~l~t:S,'r~{~:~X{~,>:;:::,\":;, ;',: 1 ~4~rook S~ree~ Bakersf1eld, CA 9S~07 .e9.Y.~~~~~~'~r-r~&!+!k;f~Jd~~.J,;t~?f;,;~M!i(t;~f:~:i)~3~~2j~~~r,!"$:.~r;t:,/!!~f.i,';.:. ;."*~l;~t,j~fttTJ"Ji!~j~r.wf:i~~lfij;~~t;.~l~~~~;,~,(.;:~'';\;T;;\F'?~< ~ "oWetHn9"S'b9/i983 _" C~G.~'F~..". ,....u ......, ".., .".._~~.9PIHa8i.;;t;9;- alDu,crI~SO 1 Personal property S 16,6l1' 1 Leinholder's si~gle in~eres~ 438BFUNS ; 1 O~her structureS 5 1 State s~rcharge 1 1 personal Liablity 8,200 300,000 ~~~i!:~!P.~..:,~:".~--_.:';.~'.. :v.;}$.~:'~iitf:~;.:{~~'tfD..~~I#$.M':;;*,5;~;it'St:t,*t:,~~jlf1.&~",?)i.T-4,~%:,~M~;:I)tr,~if1W.if'}~i;~~;.;*f,:tr.(l~;~t.~'l.i,.~:j ~~~gt;A1'If;l~i),\~;;};!x;sn~F,';::;:ifi~i~.w~#;g;t~~~J.:;;-:f~!:ff~h~~~jSM:~J;;i~::~'i:1t~S':~.&f,~t&'~r;.t-f}#~E:~#;i~~i;f~miith.0,f;1i;'~h',';;1-,iH:2\S,~,};~~~~.;/;;';":;"i(~ THI: POLICY .S SUBJECT TO THE PREMIl,JMS. FORMS, AND RULES IN EFFECT FOR EACH POLlCY PE.RIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE AODITIONPo.L INTEREST lDE\llTlF lED BELOW DAYS WRmEN NOTICE, AND WILL Se~D NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFfECT THAt INTEREST, IN ACCORDANCE WITH THE POlleY PROVISIONS OR AS REQUIRED BY LAW. .~!.1!I~~~,~(;;:S~i:;.;r"i~W1u~1~11r~.;t~itf;;ff;'i~~,Ji;~f~:;t.;!i::g~r~~11~<.~~~ ~;;t~ir!ig;~;;~ij'i~w;~'~~d~l~ j:jt,\t~~l:~1'r.J1y;,;'~r~;;~;~;"~::i:\~~',)/ i\ .._.. "WAODR", - MO!l.T~ .' ~IOI'fJ\L IN$URED HomeQ Servi ci"9 COrp r.....: U1SS PAYEE")(: L; i1oho 1 der P.O. Box ')762:;, "iO.........-.. ,.... .....". y-' .. Jacksonvi11e, FL 32241-7621 :D~219l4301 I AII1ttQlU2ED IlE'R'-5liIlTAT\VE Lisa Sunon/LS ,~~,-~'~~':?S';:.:1~)-:t;~'1~;;1kf0'):'~~.~i:L::!nf3~i;i:.R'1&;k:'~f~f~;;m';f;f~''1f;f~'itS;jT::.tfr;;';;f9j(~i~~J.'f~;r,j"~;~;;f';$.mM;+~Q(~:r~~J ~S~O.... R ct 'f'\~ '-~ ..-.,..- ( D ii" .......... '-' . '..1 S6V~ Ma~ 12 05 02:53a uv.vv.u~ ~Q~Vv;~~ p.2 Page 111 ffiT ~s!!~~r ......... I~G ( \ I/" ',I j,. .~~ . ....\ () /\ f? E<;O INSURANCE seRVICE CENTER n D lHIlCDlIlIO o lIiOllrnOOIlllOIID lmIlOOO!D[J[[) 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 Demo O~1II1I1 DIlDlBIJilllJOCIlllll JIImDlIO C~IIIII1U:no: III DrIIDII<llDO CIIIII!ma~JIiIll:Jlm IIl.mnOIItl OlIllJlDlllllllDDJJlJJ]JlIImIlllD((I]lIlDD lIIlCIlllHl COIlla; OWllliD_IIlIllOIIlID 00 OOOIDll<Im camIlDJCIIlIllUi<XIl;~= := C1Doo:m OOIlD1JIJlIIDCQi OIl !IIlCIII1DIJmUQI::xl otmJ:lIII:r:;c :I!DlJlIDIClIl!D!OOIIlIlllalO aillrulDJllD!II o:mllllllllDO:llll 0= oc:nm ~mrnrrn1mrrl1lJJ III OOWIllllllIIIIIOlJlim::a(BIJJI[:IIltmmDlmI OlIllOOOIDIIDOO o:om~o DiIlm!lOIIDIDllllllommllDllllO :lID:Imomo O[llJ D O!:lOllJmJIIDJO mllIJlIIll]]IJmlDllDlltlllO IDIIIII!DIlO ~mm IDlmm:xm:CD:mnnmO!Dlllmnumo llIIOiDI[KJ[lJJODI:DIIIC