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Home My WebLink About2013 CUSTER AVEENCROACHMENT ]PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN.AVE BAKERSFIELD CA 93,301 (661) 326-3724 O THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: ursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and iaintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 10-30000001 Date 1/04/10 Property Address . . . . . . 2013 CUSTER AVE Application type description PW - ENCROACHMENT PERMIT Owner LOPEZ JOSE ELI 2013 CUSTER AV BAKERSFIELD CA 93304 Contractor OWNER Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code 969774 Permit Fee 208.00 Issue Date . . . . 1/04/10 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments Encroachment Permit for 4' high concrete fence behind sidewalk. Contact person: Jose Eli Lopez - 209-327-8393 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 ,ermit at any time. o>e Lo J~~se I- Lr' I azz signature of Applicant (Owner/Agent) Print Name HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING ,,PPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) ;UBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) MILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS 'HEREFORE (GRANTED) (DENIED). Said permit shall expire on date stated above. signature of City Engineer Additional Terms on the Back 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: January 15, 2010 SUBJECT: Encroachment Permit Application for: 201:3 Custer Ave. Name of Applicant. Jose, Eli Lopez Description of Encroachment: Install 4' high concrete fence behind sidewalk. 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\ENCROACH\2009 approval letters\2013 Custer Ave..doc 40 B A K E R S F I E E ID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 5, 2010 SUBJECT: Encroachment Permit Application for: 2013 Custer Ave. Name of Applicant. Jose Eli Lopez Description of Encroachment.• Install 4' high concrete block fence behind sidewalk. Please review the attached insurance certificate and encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\2013 Custer Ave-doc 11 B A K E R S F I E E ID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 5, 2010 SUBJECT: Encroachment Permit Application for: 2013 Custer Ave. Name of Applicant. Jose Eli Lopez Description of Encroachment. Install 4' high concrete block fence behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. t~i2 2.0/0 S:\PERMITS\ENCROACH\TRAFFIC\2013 CusterAve..doc B 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: 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: 305c E L k )-n 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...) 6n 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) 4. Period of time for which the encroachment is to be maintained: Unddfinite~' ar Other. 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 F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 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. z Ot 9 Co 5~ e -y/ t/~ By: Jose. X4'1 LoOe~ (Street for proposed encroachment) (Owners Name) Of 62-kc-4 5 CfJ r3 FQZ1 Phone; 901 3 Y' A- !BS !13 (Address of proposed encroachment) SIGNED: 1.) Name: Address: o 5 e- EL L-Ove-7- i l G ~ e Date: 12-131161 2.) Name: Address: 3.) Name: Address: 4.) Name: Address: 5.) Name: Address 6.) Name: Address: (044 y~y~ndo 1/14Lh :aloe) cy":~ i,~: Y AVF Date: Date: Date: 12-3f -)c~ Date: t~L - ~6 - (0 1 Date: 2z _ 31 ` 0 y COI \D EVIDENCE OF PERSONAL PROPERTY INSURANCE DATE (MMIDDIYYW) *M 12/29/2009 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. AGENCY PHONE 661-327-7761 (A1G, No, ExS)• COMPANY FAX ~N-°a- - - _ TOWER SELECT INSURANCE COMPANY E-MAIL ADDRESS: C/O HENRY HERNANDEZ 1801 21ST STREET SUITE 3 BAKERSFIELD,CA.93301 CODE: SUB CODE: AGENCY CUSTOMER ID INSURED LOAN NUMBER POLICYNUMBER J HOP2966761 JOSE E LOPEZ EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 08-07-2009 08-07-2010 i TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION _OCATI ONIDES CRI PT ION 2013 CUSTER AVE BAKERSFIELD, CA 93304 COVERAGE INFORMATION COVERAGEIPERILSIFORMS AMOUNT OF INSURANCE i DEDUCTIBLE BUILDING i 170,000 ; OTHER STRUCTURE i 17,000 PERSONAL PROPERTY 119,000 LOSS OF USE i 34,000 PERSONAL LIABILITY I 300,000 ALL PERIL i 11000 i I i • A RI~CI 1 ATIl1AI ✓ THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. ADDITIONAL INTEREST NAME AND ADDRESS MORTGAGEE 8 ADDITIONAL INSURED LOSS PAYEE LOAN # AUTHORIZED REPRESENT IVE ACORD 27 (2003110) " S \S- a i i 3 l Of l