HomeMy WebLinkAbout01443
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. A}t1>LICA TION FOR ENCROACHMENT PERMIT
PERMIT NO.: EN-01443
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TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA:
Pursuantto 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.
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1. Full name of applicant and complete address including phone number:
VALDEZ IGNACIO J
315 SOWERBY VILLIAGE LN
93307 Phone No.661-364-0105
2. Nature or decription of the encroachment for which this application is made:
3' ROD-IRON FENCE-FRONT YARD
3. Location of proposed encroachment is :
315 SOWERBY VILLAGE LN BAK
FRONT YARD OF 315 SOWERBY
VILLAGE LN
~to 0 z-.B
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4. Period of time for which the encroachment is to be maintained:
PERMANENT
Applicant agrees that if this application is granted, applicant will idemnify, 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, 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 mantain the aforesaid encroachment during
the life of the said encroachment or until such time that~is 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 insuance evidencing sufficient coverage for bodily injury or property damage liability of both and required
endorsements evidencing the insurance required.
The type(s) and amount(s) of insurance coverage is:
AMERICAN NATIONAL PROPERTY AND C
LIABILITY
300000
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time. jf I
Date , 03/16/2000 e.oi"A"~ii~1iL~
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 (1) 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) ~. Said permit shall expire
Date:03/16/2000
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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 penn it
to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined.
3. Location of the proposed encroachment: ~Al1 y~d- Et8A;:AJ/ .sr'cle4Jli-/k
4. Period of time for which the encroachment is to be maintained: ?cR/lltI'l-.Alt:# r
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, quasi-judical,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 penn it is revoked.
Applicant further agrees that upon the expiration of the penn it for which this application is made, if granted, or
upon the revocation thereof bv the City em!ineer, applicant will at his own cost and eXDense 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 Insurance evidencing sufficent 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 pennit at any time.
Date: .3/'I/ttm
sentative)
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OFTHE 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.
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CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
We, the undersigned, have no objection to the construction of a fence or behind
the sidewalk on:
By: h#l1-e;o ;r: tJi,J../)E2-
(Owner's Name)
.3 /;SOe.Jd?bt Vi) If! GE' Lr,J.
(8 reet)
of 3/':;--
(Address)
Phone: ~ t/ eo 3 ~ '1- t!J / ~.s-
SIGNED:
1) Name ~ /"I'f: Ep CR"E Ec-Y
Addre~~''-~<A:~ L.,
2) Name u
Ad~___ ~;;&J ~~.d.I'.Ect,.
3) Name
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Addr
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5) Name
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6) Name~ ~/Z"~./'
Address S-;2..CJ9 Ccv(wo/cI AI?L?CY cf
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--' ~ And Casualty
........ '\... ...... Companies
American National Property And Casualty Co.
American National General Insurance Co.
American National L10yds Insurance Co.
ANPAC General Insurance Co.
Independent County Mutual Insurance Co.
(Serviced by ANPAC)
American National Corporate Centre
1949 East Sunshine
Springfield, MO . 65899-0001
417-887-0220. Fax 417-887-1801
This field issue Binder replaces all prior declarations, if any, and with policy provisions and any
endorsements issued to form a part thereof completes this: HOMEOWNERS POLICY
POLICY TERM: 06/02/1999 to 06/02/2000 and subsequent renewals
POLICY NUMBER: 04-H-K02393
NAMED INSURED AND P.O. ADDRESS
Ignacio Valdez
315 Sowerby Village Ln
Bakersfield, CA 93307-7603
Premium to be paid by MORTGAGEE
Agent N5342 () Date Printed 03/16/2000
----------------------DESCRIPTION OF INSURED PROPERTY--------------------------
THE DESCRIBED PREMISES COVERED HEREUNDER IS LOCATED AT THE ADDRESS SHOWN ABOVE.
-------RATING INFORMATION, COVERAGES, PREMIUMS, AND LIMITS OF LIABILITY--------
(Insurance is provided only with respect to those of the following
coverages which are indicated by a specific limit of liability and/or
premium applicable thereto)
SECTION I - Deductible: 1,000 All Peril
COVERAGE A - DWELLING
COVERAGE B - OTHER STRUCTURES
COVERAGE C - PERSONAL PROPERTY
COVERAGE D - LOSS OF USE
SECTION II
COVERAGE E - PERSONAL LIABILITY
COVERAGE F - MEDICAL PAYMENTS TO OTHERS
LIMITS
$94,000
$9,400
$47,000
$18,800
(EACH OCCURRENCE) $~q~_~gqo
(EACH PERSON) $1, (loa ".
/
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------------------------------RATING INFORMATION-------------------------------
CONSTRUCTION PROTECTION ZONE FAM. DWE;LLING BUILT IN
Frame" 03 20 01 1998
------------------------------POLICY ADJUSTMENTS-------------------------------
-----------------------LIENHOLDER(S) 1 MORTGAGEE(S)----------------------------
--------------SUBJECT TO THE FOLLOWING FORMS AND ENDORSEMENTS------------------
SH3 SH3.04 SH9372 SM9ll89
SH929l
--------------------------------TOTAL PREMIUMS----- ----
BASIC ENDORSEMENTS TAX TOTAL
169 14 0 $ 183
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I understand this policy does not cover earthqua e
endorsement, and that any exterior masonry veneer is
purchase coverage for exterior masonry veneer.
sses unless I purchase the optional earth':juake
ly covered when an additional premium is paid to
This policy does not cover flood losses. Flood Insurance Coverage is available from the National Flood
Insurance Program. Ask your American National agent to assist you in obtaining Flood Insurance.
ADDITIONAL INSURED:
CITY OF BAKERSFIELD, ITS MAYOR, COUNCIL, EMPLOYEES, AGENTS AND VOLUNTEERS
ARE ADDED AS ADDITIONAL INSUREDS WITH RESPECT TO THE INSTALLATION OF A
6 I WOODEN FENCE BEHIND THE SIDEWALK.
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ryan Starbuck, Civil Engineer III
FROM:
Marian P. Shaw, Civil Engineer VI, Subdivisions
DATE:
March 21, 2000
SUBJECT:
Encroachment Permit Application for 315 Sowerby Village Lane, Bakersfield, 93307
Ignacio J Vladez
Three (3) foot rod-iron fence in front yard.
Please review the attached encroachment permit and return to me at your earliest convenience.
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B A K E R 5 F I E L
v-'~rt PUBLIC WORKS DEPARTMENT
~, MEMORANDUM
TO:
Scott Manzer, Risk Manager
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
March 21, 2000
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RECEIVED
MAR 22 ZelDO
R\SK MGMT.
Encroachment Permit Application for 315 Sowerby Village Lane, Bakersfield, 93307
Ignacio J. Valdez
Three (3) foot rod-iron fence in front yard.
SUBJECT:
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
OK
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31 24/ro
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