HomeMy WebLinkAbout613 GINGER SNAPS LNENCROACHMENT PERMIT
- r~
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
` J' `my IL BAKERSFIELD CA 93301
qLI F OF, (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 . . . . . 09-30000033 Date 9/04/09
Property Address . . . . . . 613 GINGER SNAP LN
Application type description PW - ENCROACHMENT PERMIT
Owner
GOMEZ LUIS F
613 GINGER SNAP LN
BAKERSFIELD CA 93307
Contractor
OWNER
Permit . . . . . . ENCROACHMENT PERMIT
Additional desc .
Phone Access Code 941500
Permit Fee . . . . 208.00
Issue Date . . . . 9/04/09 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 YARD
BEHIND SIDEWALK AND ALONG SIDE YARDS.
FENCE NOT TO EXCEDD 4' IN HEIGHT EXCEPT
WHERE 6' IS PERMITTED. CONTACT: LUIS
GOMEZ, 378-0755.
-
-
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 ny tim
ze:1
S' ature of Applicant er/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
S 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: September 17, 2009
SUBJECT: Encroachment Permit Application for: 613 Ginger Snap Ln.
Name of Applicant: Luis F. Gomez
Description of Encroachment: Install wrought iron fence in front yard
behind sidewalk & along side yards.
Fence not to exceed 4' in height except
where 6' is permitted.
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\613 Ginger Snap LnAoc
.00000,
I _ I E'. S F -I E E ID
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: September 9, 2009
SUBJECT: Encroachment Permit Application for: 613 Ginger Snap Ln.
Name of Applicant. Luis F. Gomez
Description of Encroachment. Build wrought iron fence behind sidewalk;
not over 4' high.
Please review the attached insurance certificate and encroachment permit and return to me at
your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\613 Ginger Snap Ln.doc
E _ I-: E R S F I E E ID
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Civil Engineer II
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: September 9, 2009
SUBJECT: Encroachment Permit Application for: 613 Ginger Snap Ln.
Name of Applicant. Luis F. Gomez
Description of Encroachment. Build wrought iron fence behind sidewalk,
not over 4' high.
Please review the attached encroachment permit and return to me at your earliest convenience.
o~
S:\PERMITS\ENCROACH\TRAFFIC\613 GINGER SNAP LN..doc
•
B A K E R S F I B L D
Public Works Department 3
1501 Truxtun Avenue 00
Bakersfield, California 93301 jC7
(661) 326-3724
APPLICATION FOR ENCROACHMENT PERMIT
Permit Fee $200.00
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: ~ A
(~;nrrP(' 0)n
T v
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...) %,r) row r~ 'r-,o n C P
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 IndeD
or Other.
leele)
Appli
cant 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 to 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
E
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.
~i nom, e.'; C0 O By: S
(Street /prop encroachment (OwiYe game)
_Of Ca Ehone66/-~ -329 - d
(Address of proposed encroachment)
SIGNED:
1.) Name:
Address:
2.) Name:
Address:
3.) Name:
Address:
4.) Name: L-O k-2 k)20 Po d xd Q 1~0 ;7
Address: Gt) q r 141 j A y fl.p J V
5.) Name:
Address:
6.) Name:
Address:
Date: 2 - 5 - d 9f
Date: / 0
Date: 'f .3
Date: 9--3-0 9
Date:
Date:
QFIDELITY
National Properly & Casmilly Insurance Company
NAMED INSURED:
LUIS F GOMEZ
613 GINGER SNAP LN
BAKERSFIELD CA 93307
POLICY NUMBER
CP9 7263
HOMEOWNERS 5 COMPREHENSIVE FORM
Client ID 000002589858
EFFECTIVE DATE 06/03/2009
EXPIRATION DATE 06/03/2010
AGENT:
MCA INSURANCE SERVICES
2500 S CHESTER AVE
BAKERSFIELD CA 93304
(661)833-0300
LOCATION OF RESIDENCE PREMISES 613 GINGER SNAP LN BAKERSFIELD CA 93307
EFFECTIVE TIME IS 12:01 A.M. STANDARD TIME AT YOUR RESIDENCE
SECTION I
PROPERTY COVERAGES
COVERAGE A COVERAGE B COVERAGE C COVERAGE D DEDUCTIBLE
DWELLING OTHER STRUCTURES PERSONAL PROPERTY LOSS OF USE
$ 172,000 $ 17,200 $ 94,600 $ 34,400 $ 1,000
SECTION II LIABILITY COVERAGES
COVERAGE E - PERSONAL LIABILITY COVERAGE F - MED PAY TO OTHERS
$ 300,000 EACH OCCURRENCE $ 1,000 EACH PERSON/$25,000 EACH OCCURRENCE
PREMIUM / CREDIT
COVERAGE A - DWELLING
421.00
COVERAGE C - PERSONAL PROPERTY
-11.00
COVERAGE D - LOSS OF USE
-22.00
COV E - PERSONAL LIABILITY
18.00
HOME ALERT PROTECTION
-56.00
COV A-25% EXTENDED REPLACEMENT
8.00
INCLUDED COVERAGES : COV B-OTHR STRC; COV F-MED PAY; CONTENTS COV; INFLATION GUARD; MAX DISC ADJ
DISCOUNTS : LOSS 0 SURCHARGE, PERSONAL STAT DSC, UTILITIES RATING PLAN 22%
TOTAL POLICY PREMIUM $ 358.00
NO COVERAGE IS PROVIDED UNDER THIS POLICY FOR LOSS CAUSED BY EARTHOUAKE.
MORTGAGEE(S):
STEARNS LENDING INC A CALIFORNIA CORP ISAOA
4 HUTTON CENTRE DRIVE STE 500
SANTA ANA CA 92707
LOAN # 63003707
SEE REVERSE SIDE FOR POLICY FORMS AND ENDORSEMENTS
1 2003 FRAME 03 - 144 < 1000 < 5
INSURED CA 11 515H (08-03) 09/03/2009 DL1 001 IND8814 OPX114003 PAGE 1 OF 1
PO BOX 45126
JACKSONVILLE FL 32232-5126
1-800-849-6140
COVERAGE
DECLARATION
Version 20060815
v c
Ycvr~~ ~ . !ems
P~-
.n
t>
8 F~
yy,
l P y~
R
l
&A C-~-,&. -t,,