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2305 BRAZIL AVE
ENCROACHMENT 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 . . . . . 09-30000042 Date 11/12/09 Property Address . . . . . . 2305 BRAZIL AVE Application type description PW - ENCROACHMENT PERMIT Owner RUIZ JOSE L 2305 BRAZIL AV BAKERSFIELD CA 93313 Contractor OWNER Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 957704 Permit Fee . . . . 208.00 Issue Date . . . . 11/12/09 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments INSTALL WROUGHT IRON FENCE IN FRONT & SIDE YARDS BEHIND SIDEWALK. FENCE NOT TO EXCEED 4' IN HEIGHT. CONTACT: JOSE RUIZ, 331-3674 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. _ . Gam- ~s~ ~v i Z i ure of Applicant (Owner/A t) 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 00000 B A K E R S F I E L D PUBLIC WORKS DEPARTMENT ENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 19, 2009 SUBJECT: Encroachment Permit Application for: 2305 Brazil Ave. Name of Applicant. Jose L. Ruiz Description of Encroachment. Install wrought iron fence in front &'side yards 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. SAPERMIMENCROAChI\2009 approval letters\2305 Brazil Ave..doc E A K E R S F I E- T- D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 13, 2009 SUBJECT: Encroachment Permit Application for: 2305 Brazil Ave.. Name of Applicant: Jose L. Ruiz Description of Encroachment. Install wrought iron fence in front & side, yards behind sidewalk. Fence not to exceed 4' in height. Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\2305 Brazil Ave.doc 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: November 16, 2009 SUBJECT: Encroachment Permit Application for: Name of Applicant. Description of Encroachment: 2305 Brazil Ave. Jose L. Ruiz Install wrought iron fence in front & side yards behind sidewalk. Fence not to exceed 4' in height. Please review the attached encroachment permit and return to me at your earliest convenience. 20O7" o~ 1 *4 S:\PERMITS\ENCROACH\TRAFFIC\2305 Brazil Ave.doc B A I< E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 APPLICATION FOR ENCROACHMENT P Permit Fee $208.00 To the City Engineer of the City of Bakersfield, California: IT 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: 9,01-4. -2-5®15 avoc l X 2. Nature or description of the encroachment for which t is application is rgade: fence, concrete block wall, raised planter, etc...) 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 maintaine ndefinite or Other. Ircle) 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 insura ce requir d. The type(s) and amount(s) of insurance cp-,verage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. e: Wood or, wrough "mn 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. Sc- eiz-~ I /A ue_ By: 0-8;'P- Z (Street for proposed encroachment) ,q (Owners Name) of Z RY'e21 I A-iw Phone: 33 S-`36 (Address of proposed encroachment) SIGNED: 1.) Name: ( A Address: -,7-5o5? t~czi ~ 2.) Name: ~~fe, v~ /rsras Address: Jk,,L~ 3.) Name: bs@ Address: o'. o I e1' 4.) Name: a;k(7 iC Ce < cal Address: ~ OC2 ~+rce-2-t 1 5.) Name: ~ Woo~a"'Aec~k Address: 6.) Name: Address: Date: II / ID) Date: ////,0/O 9 Date: / / /0-- 01 Date `/IU 1 ` Date: * f, l p Date: DATE (MM/DD/YY) EVIDENCE OF PROPERTY INSURANCE _ L- 11/10/09 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE i COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE - - - - - - - - AGENCY (8LC No 9xt)- (661)326-6870 - - _ COMPANY Omega Insurance 400 H Street PACIFIC SPECIALTY INSURANCE COMPANY Bakersfield, CA 93304 FAX _E..- A -MAIL (luc N°°)- - - (661)326-6871 ADDRESS: fred@quoteomega.com CODE: - - SUB CODE: - - - AGENCY- CUSTOMER ID INSURED LOAN NUMBER POLICY NUMBER JOSE RUIZ WNG 0353291-00 305 BRAZAIL AVE. EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL BAKERSFIELD, CA. 93313 06/09/09 06/06/10 l[ 1 TERMINATED IF CHECKED 06/1 THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION - LOCATION/DESCRIPTION 2305 BRAZIL AVE BAKERSFIELD, CA. 93313 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 EVIDENCE OF PROPERTY INSURANCE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION COVERAGE/PERILS/FORMS.- '-HOMEOWNERS POLICY LIABILITY LIMITS REMARKS (Including Special Conditions) I I AMOUNT OF INSURANCE DEDUCTIBLE _I 229,000 --_.---I 500 - 300,000 0 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ADDITIONAL INTEREST NAME AND ADDRESS I f. MO-- - - - - - - i FIRST GUARANTY FINANCIAL CORP 3 HUTTON CENTER 150 SANTA ANA CA. 92707 ACORD 27 (2006107) QF The ACORD name and RTGAGEE j ADDITIONAL INSURED L7 LOSS PAYEE LOAN # REPRESENTATIVE © ACORD CORPORATION 1993-2006. All rights reserved. are regis eyed marks of ACORD