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HomeMy WebLinkAbout1125 SYLVIA DRENCROACHMENT PERMIT r` CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE d ✓ ARY ]L ' BAKERSFIELD CA 93301 4LTRnR,(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 . . . . . 08-30000076 Date 9/09/08 Property Address . . . . . . 1125 SYLVIA DR Application type description PW - ENCROACHMENT PERMIT Owner Contractor BANUELOS GONZALO C & MARIA A R OWNER 1125 SYLVIA DR BAKERSFIELD CA 93304 Permit . . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 843912 Permit Fee . . . . 208.00 Issue Date . . . . 9/09/08 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments Build fence of concrete block and wrought iron not over 4' high behind the sidewalk. Fee summary Charged Paid Credited Due Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 the right of the City Engineer, pursuant of Applicagq(O ner/Agent) to revoke the 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) QQNST4-T E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREEO (GRANTED) DENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back L 3 zg P A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: September 16, 2008 SUBJECT: Encroachment Permit Application for: 1125 Sylvia Dr. Name of Applicant. Banuelos Gonzalo C & Maria Description of Encroachment. Construct wrought iron fence with concrete block behind sidewalk and not over 4' high. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build wrought iron fence behind sidewalk, not over 4' high. 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:\PERMIMENCROACH\1125 Sylvia DrAoc B A K B It S F I E L Z) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: September 12, 2008 SUBJECT: Encroachment Permit Application for: 1125 Sylvia Dr. Name of Applicant.• Banuelos Gonzalo C & Maria Description of Encroachment. Build wrought iron fence with concrete block behind sidewalk not over 4' high. Please review the attached encroachment permit and return to me at your earliest convenience. g1i6 1q,006 M[D- 0&06lc Gocffr1014 O, P - 0 FiG- ~c~y?Tlo~Js is C'mic6liC-0 *014- SAPERMIMENCROAMTRAFFIM1125 Sylvia DrAoc 0U Imo. E R S F I E D PUBLIC WORKS DEPARTMENT MEMORANDUM TO Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: September 12, 2008 SUBJECT: Encroachment Permit Application for: 1125 Sylvia Dr. Name of Applicant. Banuelos Gonzalo c & Maria Description of Encroachment; Build wrought iron fence with concrete block not to exceed 4' high. Behind the sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. SAPERMIMENCROACH\INSURANC\1125 Sylvia DrAoc • S A I< E 12 S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 APPLICATION FOR ENC ENT PERMIT Permit Fee $208.00 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. 1. Full name of applicant and complete address including phone number: (60 11~ I 0_7 M v _ l Syylvra 2. Nature or description of the encroachment for which this application is made: (Exan pie: Wood or wrought iron fence, concrete block wall, raised planter, etc...) Go,Vcre P,e bloc-k 4- wr^oug i '1 coal v 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) h yr / r / f e j v c . . e ~v o f o u er_ 1/' A l d b e X l lv c/ s tc%2 wa l k 01 4. Period of time for which the encroachment is to be maintaine . or Other. Please-Circle) Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the 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 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 upon the 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 restored 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 sufficient coverage for bodily injury or property damage liability or both and required endorsements evidenc- ing 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. S:\EncroachmentPermits\ApplicationforEncroachment b OF-3OD000 Z 0 B A K 4-- E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 TO WHOM IT MAY CONCERN 'We the undersigned, have no objection tokthe construction of a fence beside the sidewalk within the public right-of-way. (Street for proposed en1croachhment)~ (Owners Name) ' Of 11gk~ JJ Phondo&l 994 0- 7 (23 (Address of propos encroachment) SIGNED: 1.) Name: Address: 2.) Name: Address: 3.) Name: Address: 4.) Name: Address: 5.) Name: Address: 6.) Name: Address: C? Date: 6) ~~r 09 -70S 58z~f Date: 'V/aa 7 l °T6W Mace Date: 35 `5S-7j Date: ~ pg 3~1b- 919F2, - (V x,32 -3 C> Date: ~ Date: FARM E RS Symbo of SUpetlor5eniw SPECIAL FORM HOMEOWNERS DECLARATIONS FIRE INSURANCE EXCHANGE, LOS ANGELES, CALIFORNIA HOMEOWNERS A Reciprocal Company Replaces all prior Declarations, if any TRANSACTION TYPE: F/S INCLUDES CHANGES EFFECTIVE: 12/15/2005 The Policv Period is effective (not prior to time anolied for) at described residence nremises. PDLICY:iVUMRER PO[IY PERIOD . P01ILY:EDITIQN. ; 93036-93-77 FROM: 12-28-2005 TO: 12-15-2006 STANDARD TIME 12:01 A.M. 04 ISSUING OFFICE: P.O. BOX 9073 VAN NUYS, CA 91409 This policy will continue for successive policy periods, if: (1) we elect to continue this insurance, and .(2) if you pay the renewal premium for each successive policy period as required by our premiums, rules and forms then in effect. INSURED'S NAME & MAILING ADDRESS: LOCATION OR DESCRIPTION OF RESIDENCE PREMISES: GONZALO BANUELOS AND MARIA ANGELINA BANUELOS (Sunteasmailtngaddress unless otherwise stated.) 1125 SYLVIA DR BAKERSFIELD, CA - 93304-6055 DESCRIPTION OF PROPERTY 'TARN CONSTRUCTION - 6-4 ' Iwo . 1951 FRAME ASPHALT/FBRGL-HAIL WARRANT 001 OWNER COVERAGES - We provide insurance only for those coverages indicated by a specific limit or other notation. ' SEtT14.N i PftaPERTY : SKJ . N-11:4 LIABILITY ANNUAL A DV~'EILING OR ! B NO b SEPARATE O C PER5011AL ~D LOSS OF uSE [ `J'ERSOL~ r~ LIABILITY F MEDICAL PAY PREMIUM M.O ILE ME L TJiER15TRUCiUkES. PROPERTY $165,000 $16,500 $90,750 $49,500 ( $300,000 11,000 E $584.52 Each Occurrence ach Person ) ENDORSEMENTS \ ENIRORSEMENT EDITIOW 1SCt PT1QN~ ~~~I" . p. . CA015 1ED ENDORSEMENT AMENDING SECTION II- LIABILITY,COV-PERSONAL L CA023 1ED ENDORSEMENT AMENDING SECTION I - CONDITIONS E4040 1ED ENDORSEMENT AMENDING SECTION II - EXCLUSION E4207 TED EXCLUSION AMENDING SECTION II - LIABILITY E6044 4ED BUILDING ORDINANCE OR LAW COVERAGE ENDORSEMENT E6046 2ED EXTENDED REPLACEMENT COST E6179 1ED AMENDING SECTION II - LIABILITY EXCLUSIONS E6268 1ED AMENDING DEBRIS REMOVAL COVERAGE AND POLLUTION EXCLUSION H6106 TED SPECIAL LIMITS ON SPORTS CARDS H6114 2ED AMEND SECTION I - LOSS NOT INSUR NB-SPF TP PTP IMPORTANT NOTICE - ADDITIONAL ENDORSEMENTS SHOWN ON BACK DISCOUNTS NON SMOKER, HOME SECURITY, YOUR POLICY. AND EXPERIENCE RATING PLAN DISCOUNTS HAVE BEEN APPLIED TO DEDUCTIBLES POLICY ACTIVITY (SUBMIT AMOUNT DUE WIT H INCLOSED INVOICE) $1,000 Deductible is applicable to covered losses under $ 5 9 6 . 5 2 Previous Balance DUE Coverage A, B, C. Premium Fees ANY 'TOTAL' BALANCE OR CREDIT S7.00 OR LESS Payments or Credits WILL BE APPLIED TO YOUR NEXT BILLING. BALANCES OVER $7.00 ARE DUE UPON 596.52 Total DUE RECEIPT. INSURED PAYS This Declarations page is part of your policy. It supersedes and controls anything; to the contrary. It is odZerwise subject to all other terms of the policy AGENT: Navaratnaraj S. Jitendran AGENT PHONE: (818) 887-1844 AGENT NUMBER: 30 45 385 Countersignature Authorized Represec tative 56-5279 4TH EDITION 1.05 93036-93-77 (Continued on the Reverse Side) 01-06-2006 C5279411 6-