HomeMy WebLinkAbout01425
APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01425
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:
JUAN FUENTES
3609 L ST
93301 Phone No.661-325-9568
2. Nature or decription of the encroachment for which this application is made:
CHAIN LINK. FENCE
3. Location of proposed encroachment is:
3609 L ST BAK
3609 L ST
4. Period of time for which the encroachment is to be maintained:
INDEFINITELY
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 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.
Applica~t 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:
ALLSTATE LIABILITY
44000
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
::t::~:::: time. uuu.g~
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) (DENIED). Said permit shall expire
Date:09/23/1999 si~~~~6~~
ORIGINAL
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.
I. Full naG; O' a l~nt ~ .:om~ete addl$~~on
') Nature,?f description of the encroachment for which this application is made:
--...
3. Location of the proposed encroachment: SG?e c; -Iv s 1--. 1 fS~((t_Ict, CC\. '13 ~o /
<'
4. Period of time tor which the encroachment is to he maintained: '1. AJ ~ ill /J L 'l-....l~
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hann ess City, its
officers. agents. and employees against any and all liability, claims, actions, causes of action or demands,
whatsoever agai~st 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 by the City enl!:ineer, aDplicant will at his own cost and expense remove the same
from the oubHc prooerty 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
etfect 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 Bakerstield Municipal Code Chapter 12.20 to
revoke the permit at any time.
Date:
, -;;2-' 3-
~~..
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 (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:
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Signatuz.(~er
No.
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Scott Manzer, Risk Manager
FROM: . John Ussery, Engineering Tech. 1, Subdivisions
DATE: October 27, 1999
SUBJECT: Encroachment Permit Application for 3609 ilL 11 Street
Juan Fuentes
4' high chain-link fence around front and side yards
-
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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S:\PERMITS\ENCROACH\INSURANC\3609 L Street.wpd
ORIGINAL
Oct 25 99 Q 4: 1 8'p
Chris
327-5517
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Allstate~
YOUTe in good bands.
ALLSTATI: INSLRANCF COMPANY
CAL J FORN:: A
Home Offi ce
Northbrook, IL Application No. l20163992910979
App 1 i cant Name: JUAN FUENTES SOCOF:~,O FLENTFS
Address . : 3609 L STREET
Ci ty : BAKERSF I ELD St.: CA Z -j P COdE: 93304
Home P~lone No.: 661-325-9568 County: KERN .
LOCATIOI~ OF PROPERTY : SAME
POLICY DISTRIBUTIO~/BILLING
Policy sent to: INSURED
Initi;ll premium notice sent to: ~ORT~AGEE
Renewal premium notice sent to: "'10RT3AGEE
MORTGAGEE/THIRD PARTY INFORMATION'
First. Mortgagee
Loan Number: Mortgage Balance:
Name : HENRY W HAUSE AND ETHEL 1 HAJSE
Address: 608 NETTLE PLACE Di rectory Code:
Ci ty : BAKERS I F ELD,;t.: CA Zip Code: 93308
ADDITIONAL INSURED INFORMATION N(r~E
ADULT OCCUPANTS
OCC. OCCUPANT
NO . NAME
1 JUAN A
FUENTES
2 SOCORRO
FUENTES
CHILDREN IN HOUSEHOLD : NONE
Total number of r'esidents in hou~(lhold including children: 2
SOCIAL RELATJ:lf~ B[RTH MARITAL
SEe. NO. TO IN~;, D,nE SEX STATUS OCCU)ATION
J\ 458707507 SA iJ3/30/1944 M MA RE RETI ~ED
PRESENT
EMPLOY.
DATE
546215152 SP ()5/0~7 /l9~J2 F MA HO HOMEI1AKER
HOUSEHOLD INFORMATJON
Date applicant moved into presen~ res"dence: 01/1999
Is the residence regularly unoccpied during the day or even'ing by all
adult occupants in the household?: NO
Number of dogs or, premi ses: NONE DOE~S anyone in the household smoke?: NO
POLICY TYPE - DELUXE
I=ClMEmINERS
ORfGfNAL
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Chris
327-5517
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Allstate~
You're in good hands.
ALLSTATF INSL.RANCE COMPANY
CAU FORN::A
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Home Offi ce
Northbrook. IL
LOCATION OF PROPERTY
Fi re Protected Mea : BAKERSFIEJj
County: KERN
Miles to Fi re DE'partment: 2
Subsc ri pt ion F i r'e Dept.: NO
App 1 i cati on No. 420163992910979,
Territorial Zone: 010
Feet to Fire Hydrant: 50
Town Class Rating: 000:3
HOMEOWNERS POLICY COVERAGES
The premium stated below reflect.~; th(~ apolicable loss deducibles listed
under the section titled "HomeorJners Po1i:::y Loss Deductible) App1iec".
SECTION I COVERAGES
Dwelling Protection (No Rep1aceij(~nt (;uarantee)
Other' Structure~; Protecti on
Personal Property Protection ('!\cual Cash Value)
SECTION I OPTIONAL! INCREASED COVEfV\GES SELECTED
Property Insurance Adjustment
SECTION II COVERAGES
Family Liability Protection - tach o:currence
Guest Medi ca 1 P "otecti on - eacr i)ers::>n
T ota 1 Section II P remi urn
LIMITS PR.EMIUM
$66812 $216
$6639 INCL
$334~6 INCL
INCL
$300000
$1000
$30
SECTION IIIOPTIO\JAL COVERAGES/Ii'D~EASED COVERAGES APPLIED
An ncjditional premium is char~wj for each of the following optional
coverages you have selected.
LIMlTS
PREMIUM
INCL
Workers' Compensation - OccasiCl'lal
S.P.P. COVERAGES: NONE
EARTHQJAKE POLICY COVERAGES
Eart.hQuake i nsurancei s provi d{~(i by a st~parate pol i cy that may be purchased
for an addi ti ana 1 premi um. YOU HAVE: ELECTED NOT TO PURCHA~;E EARTHQJAKE
INSURANCE.
8
HOMEO~jNERS POLICY LOSS DEDUCTIBLI~:1 APPLIEr)
The following loss deductibles opply as specified below.
All Peril $500
PaQe 2 of More
ORIGINAL-
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: y...f(7 Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
October 27, 1999
SUBJECT:
Encroachment Permit Application for 3609 ''L'' Street
Juan Fuentes
4' high chain-link fence around front and side yards
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of
a four foot high chain-link: fence around front and side yard. The site is located at 3609 ilL" Street
The applicant has provided proof of appropriate insurance coverage to Risk Management.
Based on their review, staff recommends approval of the permit.
S:\PERMITS\ENCROACH\3609 Lstwpd
xc: Applicant
Reading File
Construction Inspection
Q,RIGINAL
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
I
TO: Ryan Starbuck, Civil Engineer III
FROM: John Ussery, Engineering Tech. 1, Subdivisions
DATE: September 24, 1999
SUBJECT: Encroachment Permit Application for 3609 ''L 11 Street
Juan Fuentes
4' high chain link fence around front and side yard
Please review the attached encroachment permit and return to me at your earliest convenience.
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