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HomeMy WebLinkAbout5825 OSBORNE STENCROACHMENT PERMIT t7 CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN. AVE RY'LS BAKERSFIELD CA 93301 ®R(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 . . . . . 09-30000043 Date 11119109 Property Address . . . . . . 5825 OSBORNE ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor VALDEZ LEOBARDO & MARIA ADELA OWNER 4415 SERENE OAK DR BAKERSFIELD CA 93313 ( 66) 832-7677 Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 960047 Permit Fee . . . . 208.00 Issue Date . . . . 11/19/09 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments INSTALL BLOCK AND WROUGHT IRON FENCE BEHIND SIDEWALK. FENCE NOT TO EXCEED 4' IN HEIGHT. FENCE IS ALREADY INSTALLED. CONTACT: MARIA VALDEZ, 327-5401. 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. - 0', &&-) M on a, ~4 VQJ Je?, Signature of Applicant (O%wner/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. Signature of City Engineer Additional Terms on the Back . i A. K E R S F I- E L 1E PUBLIC WORKS DEPARTMENT MEMORANDUM TO: • . Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: December 9, 2009 SUBJECT: Encroachment Permit Application for: 5825 Osborne St. Name of Applicant. Leobardo & Maria V Description of Encroachment. Install block and wrot sidewalk. Fence not t Fence is already insh ®1C 17 2009 PUBLIC WORKS DEPARTMENT ht iron fence behind exceed 4' in height. 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 Based on their review, staff recommends approval of the permit Management. SAPERMIMENCROACH\2009 approval letters\5825 Osborne StAoc 0 I _A I<: E R S F I E L, I I:) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 20, 2009 SUBJECT: Encroachment Permit Application for: 5825 Osborne St. Name of Applicant: Leobardo & Maria Description of Encroachment: Install block and w sidewalk. Fence rn Fence is already it dela Valdez ught iron fence behind to exceed 4' in height. Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\5825 Osborne StAoc 0. IB A I,-: E R S. F I F- T- ] E) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: FROM: DATE: SUBJECT: John Ussery, Engineer II Marian P. Shaw, Civil Engineer IV, Subdivisions November 20, 2009 Encroachment Permit Application for: 5825 Osborne St. Name of Applicant. Leobardo & Maria Adela Valdez Description of Encroachment. Install block and -wrought iron fence behind sidewalk. Fence not to exceed 4' in height. Fence is already installed. Please review the attached encroachment permit and return to me at your earliest convenience. /Z/61/wol it f 4c e sl~~~l ~ra~4 le aw-e CGed ewe AAO S:\PERMITS\ENCROACH\TRAFFIC\5825 Osborne StAoc E A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 To the City Engineer of the City of Bakersfield, California: Ci' 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: Lf'obn-rdo i/~J ` c del 4~( I5 Ge►.t .e. OaN~ T w Ro-ke,6f~ eU WS 933?`3 (L 1.3 086 2. Nature or description of the encroachment for which this application i fence, concrete block wall, raised planter, etc...) I rrr9ir! 6 )0a (Example: Wood or wrought iron 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) 933o7 59a5 C S b a-r ne 5+_ 13aYeJ-r eld, (Wt to rift i'o-, 4. Period of time for which the encroachment is to be maintained: Indefinite 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 A K E R S °°.rm F o,~.mc, y I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 TO WHOA! IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right-of-way. OSbome. 5 (Street for proposed encroachment) Of g 05_60y►q e 5+ (Address of proposed encroachment) CaPf 93V7 SIGNED: 1.) Name: Address: I-w 6o--cl,® Vab/det By: mara~ RcLeto, Val ez (Owners Name) t'hone: b~~~ ° a-® Date: 2.) Name: Date: 7-09 Address: cig6 3.) Name: 10jf~ C\C kQ ~ Vx, )5 Date: ®q Address: '~Ab l r k • R k. (A 4.) Name: Date: Address: S`9 ~ y 0,561/ A e 67" d :A.Kn fr '-1 5.) Name: ~X 09''\/dGZC) CA8(2- A Daterl--,) 7-0 CJ Address:5 efUz: C=FI- 9-5307 J c 6.) Name: ) o , Address: 2) Us too 5 Cs1x-rNC- 1 9-5 CkY6 ~ CA x(33 0 Qt`, k k0(e" Date: i 11-18-`09 13;33 FROM-BMIITHOMCO INS 661-323-0550 Continuation Declarations -fd MIESA IZ )POILICY Named Insured MARIA VP.LDEZ 4415 SERENE OAK DR BAKERSFIELD CA 93313-5048 T-333 P02/03 U-673 AW. TRAVELERSJ Your Agency's Name and Address THOMCO ASSOCS INS SERVS P 0 BOX 9307 FRESNO CA 93791 Your Policy Number: 932598136 661 1 For Policy Service Call: {559} 226-1000 Your Account Number- 932598136 For Claim Service Cali: 1-800-CLAIM33 Policy Period Location of Residence Premises FROM: 05-02-09 To: 05-02-10 12:01 A.M. 5825 OSBORNE CT STANDARD TIME AT THE RESIDENCE PREMISES BAKERSFIELD, CA 933075576 Section I - Property Coverages Limits of Premium Liability A - Dwelling $ 179,000 $ 286.00 B - Other Structures 17,900 INCL C - Personal Property 89,500 INCL D - Loss of t1se 17,900 INCL Section 11- Liability Coverages E - Personal Liability $ 300,000 $ 63.00 F - Medical Payments to Others 51000 INCL Policy Forms and Endorsements HS 661 09 99 Rome Owners Form HS 01 04 07 06 Special Provisions California MI5 04 16 09 99 Premises .kla m or Fire Protection System HS 80 90 07 02 Limited Fungi, Other Microbes $ 5,000 or Rot Remediation H8 24 90 06 01 Workers Compensation Residence Employees INCL 438BFU NS 05 42 Lenders Loss Payable Total Premium $ 349.00 Your Premium Reflects the Vollo'wing Credits or State Surcharges Premises Alarm System-Dire 5.0% Policy Deductible: $ 1,000-00 All perils insured a,galust In case of loss under section I, only that part of the loss over the stated deductible is covered. Continued on next page Insured Copy Page I of 2 PL.8851 1-97 47610TJ094 000217100022 F3115AmT 6812 03110109 AS4W Osborne St - Google Maps ~i~ g~~ © '7 Page 1 of 1 59a5- 05bome, S~ ~a~~-s S~~s l maps Address 588$ Osborne St Address is approximate Save trees. Go green! Download Google Maps on your ~phone at googlexom/gmm A http://maps.google. com/maps?f~--q&source=s_q&hl=en&geocode=&q=5 825+osbome+ba... 11/17/2009 5S-88 Osborne St - Google Maps -G'Sa.s Osborne- 5-~- j3cjrsY5~'S?°L Odil' 9-3302 59-,U- o) maps Address -5880' Osborne St Address is approximate " (5"a,4 Save trees. (Go greeng Download Google Maps on your. phone at google.com/gmm pwo cam- • T, Aq /yl l]ZC~'~~ Page 1 of 1 7ba c-xc V, latp 14~f S http://maps.google.com/maps?f--q&source=s_q&hl=en&geocode=&q=5825+OSBORNE... 11/17/2009