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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: ~/(-/~cr. Signatuz.(~er No. ORIGINAL t- ill tAJ f ((J :t \-S .m ' I I ' fa ..J I- -:z j -<i '. ? IcJ8 Do p oJ Ri: /4 0 (//:t... e'{ I' ?J,' p (r f1;:p ClI"Z- ~ \. , 61'" ~ IS il>Ji'~ b-, t.J;ouD U-AI,'/<.. ~i , ~ 4\ \ ' C"L' -'z tJ;'l ~~... f4 / ~J(~ 3Y-~' . 'jJ I' l\ L STKEeT ,-I) ,. :rot!> ~O[)A)~S5.. /v1R JU~fJ ru/UJ'Tf.$ 3bo1 1-. 51 ~ ~ k ,<- () <" I' · .-' ,-- . " .-. '.. " ....'""'" '. ..'- > I IX: f, -... .,~I ^ -1 <C 2.: - (!) - C::: . C) ~ IA/B '=" .".~ .~......) \D~\ .~ 4 ..,-'-',..__....--------- r 3 3 I' 'x 6 CJ..}Ai tJI Li 4J){ 39 .- /rt!8 f. 6' f'U ~T5 J } - J..1/d 'f '8' p()~ r5 39" / 1/d '1&( ~AII t, t-- Ct-A (,. /<. ~~~~ '3 'I, J, r r:'" I 'A '" ,', .A"" . .,: I ~ . 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. ole ~.~ tolt- lll\ 4 S:\PERMITS\ENCROACH\INSURANC\3609 L Street.wpd ORIGINAL Oct 25 99 Q 4: 1 8'p Chris 327-5517 p.2 ~ 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 Pilc.e 1, of More . R2853 Oct 25' SSp4 :'19p ::> . Chris 327-5517 p.::! Allstate~ You're in good hands. ALLSTATF INSL.RANCE COMPANY CAU FORN::A , , I 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 $500 PaQe 2 of More ORIGINAL- R2853 T"" "- o ~ .ENDOME Q) .J:: . C/') o' o I T"" T"" I 0' T"" T"" I o C\I T"" I <Xl en I ...... en en T"" <i. u C L.- Q) ~ ,. () . " . . . ,....... . :-:'0 ~ . ..' SCHOOL DIST. 5i-lt"~'f . .. ..;J20-11'.::l'i:. ," .: ".' . G I" = 60' S7: II) :t ~ \ ) 25 30.25 I ~ I ., I @I" I ~ I(@ @I ~ 28 27 26 25 2S 30.25 j I I I I I I . I I I I I I I I I I@ I . 10 10 l@ \@ 38,137 36 I .35 34 33 .32 I 3/ .30 29 13 ,/4 @) I I I I I I I _L__l_ /7 , /8 I@ ,@ I I I I I I I _L__J_ 19 20 2/ 122 I@) (~ I I I _1- /5 /6 ~ ~ Sr: F\: 23 I 24 . I@ I I I ~ ~ I I I I k~ ) 40I.J9 .9 I 10 I@ I I I J_ ~~5 , ~ ~ . 82.5 "= tI') i!: (Q ~ 82.$ .L', @. ""- - - .', .~ "'''7,' ~.. ',>- . /h . - 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 ~J~:l5 /'(?ff1 " ,., fl.,/ ~>0 ~ ~ . - 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. 7'/t,7/Q7 8-1c-. A-S 7?J 1prPr-'IC t<eBU/~e~C] F"'''' f.:""';;; <. 0. ol'-/ ~ f/ /'1.1/9'1 S:IPERMITSIENCROACHITRAFFICI3609 L st.wpd ORIGINAL