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
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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.
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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
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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
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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
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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
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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
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Date: 'V/aa 7 l
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Date:
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Date: ~ pg
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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-