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HomeMy WebLinkAbout5909 VIA LUCCA~CORPORAT ENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT r 1501 TRUXTUN AVE 11' b Nov Eci r GARY 1L~t~ BAKERSFIELD CA 93301 IF Opt G' (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 . . . . . 09-30000026 Date 6/17/09 Property Address . . . . . . 5909 VIA LUCCA Application type description PW - ENCROACHMENT PERMIT Owner FLORES GREGORIO L 5909 VIA LUCCA BAKERSFIELD CA 93307 Contractor OWNER Permit . . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 915421 Permit Fee . . . . 208.00 Issue Date . . . . 6/15/09 Valuation 0 Qty Unit Charge Per Extension 1.00 2.08.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments INSTALL WOOD FENCE ALONG RUSSELL ST. SIDE OF YARD. HEIGHT IS 61. CONTACT: GREGORIO FLORES, 865-8863. Fee summary Charged Paid Credited - - ' Due - Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. C,f(-a 1G 1 . T_C; I-4 '-(f (7 na"t'D I r 7av S Signature of Applicant (Owner/Agent) Print Name 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (DENIED). Said permit shall expire on date stated above. 4 9 " Signature of City Engineer Additional Terms on the Back S A IC 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: July 14, 2009 SUBJECT: Encroachment Permif Application for: 5909 Via Lucca St. a W ZEC-E I V E JUL PUBLIC WORKS DEPARTMENT Name of Applicant. Gregorio L. Flores Description of Encroachment. Install 6' high wood fence along Russell St. side of yard. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to install fence as described above. The applicant has provided proof of appropriate insurance coverage to Risk Management. Based on their review, staff recommends approval of the permit. SAPERMIMENCROACH\2009 approval letters\5909 Via Lucca StAoc .0~ 4W D A I~ E R S F I E L L PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer 11 FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 9, 2009 SUBJECT: Encroachment Permit Application for: 5909 Via Lucca St. Name of Applicant. Gregorio L. Flores Description of Encroachment. Build 6' high wood fence along Russell St. Side of yard. Please review the attached encroachment permit and return to me at your earliest convenience. 711311--001 r~o►~ kP Tt,~ftffjc, 6CC-fZAT1%5 S:\PERMITS\ENCROACH\TRAFFIC\5909 VIA LUCCA.doc Imo. E R S F I E T- Z-) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: June 23, 2009 SUBJECT: Encroachment Permit Application for: 5909 Via Lucca St. Name of Applicant: Gregorio L. Flores Description of Encroachment. Build 6' high wood fence along Russel St. side of yard. Please review, the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\5909 Via Lucca StAoc ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326-3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): 00 If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPL FULL NAME OF APPLICANT Grwr3r;o COMPLETE ADDRESS: 59o o Lean / k-qSSe h C6 9~?077- ON PHONE: ~b 11 4Si~ r~ 7 FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) CONTACT PERSON ;e /asp PHONE: l pw (r~~ 6 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 rijht 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 sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Encroachment Permit Fee: $208.00 S:\PERMITS\ENCROACH\ Encroachment Permit Req Form.DOC January 2009 APPLICATION FOR ENCROACHMENT PERMIT . TO THE CITY ENGINEER OF THE CITY OF BAKERSFIET. , CALIFORNL-t: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned ap lies 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 apmlicant and complete address including phone number. (~71~~arin 1-4mmet 2. Nature or description of the encroachment for which this application is made: WoKk 3. Location of the proposed encroachment: 4. Period of time for which the encroachment is to be maintained: Applicant agrees that if tlsis application is granted, applicant shall indemnify, defend and hold harmless City, its officers, agents and em loyees against any and alt liability, claims, actions, causes of action or demands, whatsoever ag?. first them, orany pfLhem,before adminisraative,quasi-tudiciai, or judicial tribunals of anykind whatsoever, arisin out of, connected with, or caused by ap licaat's placcmeut, erection, use (by applicant or any other person or entity or m=t crancc ofsaid encroachm t, rie ap licant ~irthrragi..ry to maintain the aforesaid encroachment during the W. ai.3a;d a nvi~acll~~tIe''11 ar UZU such time z t this permit is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted, or u on !he rev= tion th~:rrcofbv the City engineer, applicant will gt his over! cost and e _ease rernove the same Pram the pu lie rgrti or right of way where the same is located, and restore said public property or sprat of way to the condition a n"' •rly qq rrhnr :m Whi.-t, it vas before the placing, erect?on, maintenance or existence of said encroach meat. Applicant further agrees to obtiin and keep all liability insurance required by the City Engineer in frill 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 evidencing the insurance required. The type(s) and of insurarice-coverage is: Applicant acknowledges the right of the City Engineer, pursuant to-Bakersfield Municipal,C9de_,C1*pp0&,12.20 to revoke the permit at any time. / Date: D-5 yD~ 7fCPO, bri~) 70 0-47~`1 ignature o App t caner or eprescntativc PERMIT I HEREBY CERTIFY THAT I HAVE MADE AN C VESTIGATION OF TFIE FACTS STATED L'ti TIME FORE GOEgGAPPLICATIONtANDF TIikTTHE&L TENXNCEOFSAIDENCROACHAENT(t)WILL (`SOT) SUBSTANTIALLY LNTE.PSERE WITH TRE USE OF THE PLBLIC PLACE ARE TIIE S.k01E IS TO BE LOC.ATED AND (2) WILL (NOT) CONSTITUTL A HAZARD TO PERSONS L±STEN G SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (`9t E"GIED). SAID PE&YfIT SHALL :PERE Date: signature o City Engineer No. _ CITY OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS ~ TO WHOM IT MAY CONCERN: We the undersigned , have no objection to the construction of a fence beside the sid-awalk within the public right of way. B (Str et or puposed encroachment) (Owners Name) of 571!!79 ilk f ~✓CC~ GG/~~,~ Fi'e1d_ C1 Phone: jAddress of purposed encroachment) X33 CIF SIGNED Dat 7) Name: kcs. Nt u9lClV~.~ - 0 Address: _ n 2! Name: 6x) E, C h l l// (a VC, e 0,e IR mate: v{ o~v .!address: 3) Name: Address: M ~LrI gS3~7 4) Name: pate: Address: 5) r42Me. Date: Address: 6) Name: Gate: - Address: - - SPECIAL FORM DWELLING FIRE F A R M E R 5 FIRE INSURANCE EXCHANGE, LOS ANGELES, CALIFORNIA ECpARATI6fiJ G AMERICA A Reciprocal Company STANDARD FORM FIRE Replaces all prior Declarations, 9 any INSURANCE POLICY TRANSACTIONTYPE: F/S INCLUDES CHANGES EFFECTIVE: 08/28/2008 ISSUING OFFICE: The Policy Period is effective (not prior to time applied for) at described property location. P.O. BOX 9073 ...:....:...::,..:,:,:,.:,::.,::..:.:,,:.:::,,.::..::.:::,.:..::...;PfkIRQ,::;:::::;.::;.;»;:.,;:...:.•::.:..::.;:;:;.:.:..:.:::;:;:>::<::;:.;:::;.;<:>CUEIE,1•,E(OIIbN:;;:::: VAN NUYS, CA 91409 FROM: TO: STANDARD TIME 93680-55-11 09-09-2008 08-28-2009 12:01 A.M. 01 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 GREGORIO L FLORES, A MARRIED MAN, AS HIS SOLE 5909 VIA LUCCA BAKERSFIELD CA 93307-5597 DESCRIPTION OF PROPERTY ''ryFji:':"r.;;'<;:::;;:?'' iiii?isisii:iiiy'::•:::>: R TlF.C0U5IR 0 [IC[I N.. .:.......Ct1N$TITDEItOH: . :»::>:>::><;:::~~:>s>;::><:: . 1985 FRAME 1 OR 2 FAMILY DWELLING OWNER OCCUPIED COVERAGES - We provide insurance only for those coverages indicated by a specific limit or other notation. PROPERTY LIABILITY (OPTIONAL) A - DWELLING OR MOBILE HOME B - OTHER STRUCTURES C - PERSONAL PROPERTY D -FAIR RENTAL VALUE E - ADDITIONAL LIVING EXPENSES I - PERSONAL LIABILITY J - MEDICAL PAY TO OTHERS $230,000 $23,000 $70,000 $23,000 $23,000 $300,000 Each Occurrence $1,000 Each Person FIRE AND LIGHTNING SPECIAL FORM PERILS PERSONAL LIABILITY $ 414.25 $ 149.31 $ 25.00 TOTAL PREMIUM 1 $ 588.56 DP3 9-83 DWELLING FIRE - SPECIAL FORM CA033 1ED ENDORSEMENT AMENDING CONDITIONS CA035 1ED AMENDED LOSS SETTLEMENT CONDITIONS CA042 1ED ENDORSEMENT AMENDING OTHER COVERAGES & GENERAL EXCLUSIONS DP300 3-88 DWELLING FIRE SPECIAL STATE PROVISIONS E4136 3ED COMPREHENSIVE PERSONAL LIABILITY IMPORTANT NOTICE - ADDITIONAL ENDORSEMENTS SHOWN ON BACK NON SMOKER AND EXPERIENCE RATING PLAN DISCOUNTS HAVE BEEN APPLIED TO YOUR POLICY. $1,000 Deductible is applicable to covered losses. This Declarations page is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all other terms of the policy. AGENT: Marvin Marroquin AGENTPHONE: (661) 533-2326 AGENTNUMBER: 29-50-367 POLICY ACTIVITY (SUBMIT AMOUNT DUE WITH ENCLOSED INVOICE) NONE 55.39 Previous Balance Premium Fees CA Surcharge Payments or Credits 55.39 Total DUE MORTGAGEE PAYS ANY "TOTAL" BALANCE OR CREDIT $7.00 OR LESS WILL BE APPLIED TO YOUR NEXT BILUNG. BALANCES OVER STOO ARE DUE UPON RECEIPT. 56-5103 5TH EDITION 6 - 07 93680-55-11 (Continued on Reverse Side ntre~yrs//i/g/Jnfature / 219 ` Authorized Represen Live 10-15-2008 C5103511 Jas