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.
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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