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HomeMy WebLinkAbout7620 WIDE LOOP RDENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (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 . . . . . 10-30000004 Date 1/21/10 Property Address . . . . . . 7620 WIDE LOOP RD Application type description PW - ENCROACHMENT PERMIT Owner VIDAURRETA JAVIER & CHRISTINE 7620 WIDE LOOP RD BAKERSFIELD CA 93309 Contractor OWNER Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 974097 Permit Fee . . . . 208.00 Issue Date . . . . 1/21/10 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments INSTALL RAISED PLANTER AND WOOD FENCE IN SIDE YARD BEHIND SIDEWALK. FENCE NOT TO EXCEED 4' IN HEIGHT. CONTACT: JAVIER VIDAURRETA, 833-8580. 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 ai any time. S' azure 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. Signat a of City Engineer Additional Terms on the Back 0 B 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: February 4, 2010 SUBJECT: Encroachment Permit Application for: 7620 Wide Loop Rd. Name of Applicant: Javier & Christine Vidaurreta Description of Encroachment. Install raised planter and wood fence in side yard behind sidewalk. Fence not to 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 Risk Management. Based on their review, staff recommends approval of the permit. SAPERMITS\ENCROACM\2009 approval letters\7620 Wide Loop Rd..dotx 40 A- I~ R S F I E E n PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 21, 2010 SUBJECT: Encroachment Permit Application for: 7620 Wide Loop Rd. Name of Applicant. Javier & Christine Vidaurreta Description of Encroachment: Install raised planter and wood fence in side yard behind sidewalk. Fence not to exceed 4' in height. Please review the attached insurance certificate and encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\7620 Wide Loop Rd..doc .Q :B _ I-- E R S F I E I1 ID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 21, 2010 SUBJECT: Encroachment Permit Application for: 7620 Wide Loop Rd. Name of Applicant. Javier & Christine Vidaurreta Description of Encroachment. Install raised planter and wood fence in side yard behind sidewalk. Fence not to exceed 4' in height. Please review the attached encroachment permit and return to me at your earliest convenience. 2 30/j~ Z/ZD/b D #-s 77erlG S:\PERMITS\ENCROACH\TRAFFIC\7620 Wide Loop Rd.doc • B A. K B R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 APPLICATION FOR ENCROACHMENT PERMIT To the City Engineer of the City of Bakersfield, California: 0`~ 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. J AVI F f V fiJ„a);RR D4 7620 wI aL Lap a 13 33-gSBoo 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) ffll~- ti U o CO- 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) i 10-1 4. Period of time for which the encroachment is to be maintain . indefinite or Other. (Please C' le) 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 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 famish 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:1EncroachmentPerrn tslAppl'rcationforEneroachment %IUD %/lU/ZUUU 3:21:04 PM PAGE 3/004 Fax Server B A K E R S F I lE L D Public Works Department 1601 Truxtun Avenue Bakersfield, Califomia 93301 (661) 326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right-of-way. By:.fIV ~Cc ' (Street for purposed encroachment owners Name Of -&d-dQ(!:5 W1t>cc- LC9--),R Phaum (Address of purposed encroachment) t SIGNED: 1.) Name: Address: Date: ,q--p,_j 2.) Name: Address: 3.) Name: Address: 4.) Name: Address: 5.) Name: Address: Date:. -d~ d P Date: Date. Date. 6.) Name: Date: Address: dyc„ K__L _ CERTIFICATE OF LIABILIT PRODUCER (661) 327-3111 FAX: (661) 327-1262 Wilson Paves Associates 2300 Bahamas Drive Y INSURANCE 5DATE /1912008 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bakersfield CA 93309 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:Ind Ins Co of N. America Javier & Christina Vidaurreta INSURER B: 7620 Wide Loop Road INSURER C: INSURER D: Bakersfield CA 93309 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L IN RD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY _ DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 A CLAIMS MADE IT OCCUR F0346787 5/20/2008 5/20/2009 MEDEXP An one person) S 5,000 1 000 000 PERSONAL & ADV INJURY , , S 1 000 000 GENERAL AGGREGATE , , $ GEN'L AGGREGATE LIMITAPPLIES PER: J PRODUCTS - COMP/OP AGG S 1,000,000 E LOC X POLICY AU TOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) S HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F1 CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIM T OTHER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERI E.L. EACH ACCIDENT S MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE 5 SPECIAL PROVISIONS below E. L. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE Hnl nFR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Bakersfield EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Public Works Department 10 1501 Truxtun Avenue DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Bakersfield, CA 9 3 3 01 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Mike Wilson/LB ACnRn 9x; /9nnamm INS025 (oiosp8a © ACORD CORPORATION 1988 Page 7 of 2 AC Qj3 r~mm CERTIFICATE OF LIABILITY INSURANCE 5DATE M/DD /19/20 8' I PRODUCER (661) 327-3111 FAX: (661) 327-1262 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wilson Paves & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2300 Bahamas Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bakersfield CA 93309 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Ind Iris Co of N. America Javier & Christina Vidaurreta INSURER B: 7620 Wide Loop Road INSURER C: INSURER D: Bakersfield CA 93309 INSURER E: COVERA E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT ADD'L IN RD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ A N CLAIMS MADE IT OCCUR F0346787 5/20/2008 5/20/2009 MEDEXP An one person) $ 5,000 PERSONAL &ADV INJURY 000 000 $ 1 , , GENERAL AGGREGATE 000 000 $ 1 , , GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 1,000,000 X POLICY JPERR LOC AUT OMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS B D L SCHEDULED AUTOS O I Y INJURY (Per person) $ HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS VCR 1 IrlliH I C h V LUtK CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Bakersfield EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Public Works Department 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1501 Truxtun Avenue Bakersfield, CA 93301 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE a (1lRrI -)G tonne ino% INSURER, ITS AGENTS OR REP AUTHORIZED REPRESENTATIVE Mike Wilson/LB INS025 (0108).08@ © ACORD CORPORATION 1988 Page 1 of 2