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HomeMy WebLinkAbout4501 SANTA CRUZ STENCROACHMENT 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 . . . . . 09-30000031 Date 10/05/09 Property Address . . . . . . 4501 SANTA CRUZ ST Application type description PW - ENCROACHMENT PERMIT Owner SOSA HECTOR G 4501 SANTA CRUZ ST BAKERSFIELD CA 93307 Contractor OWNER Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 927517 Permit Fee . . . . 208.00 Issue Date . . . . 7/28/09 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments INSTALL 4' HIGH CHAIN LINK FENCE IN FRONT AND SIDE YARDS OF ABOVE LOCATION. CONTACT: HECTOR SOSA, 412-4570. Fee summary Charged Paid Credited Due Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowled ens the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit t ny ime. ! C Si a re of Ap nt (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. 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: October 5, 2009 SUBJECT: Encroachment Permit Application for: 4501 Santa Cruz St. Name of Applicant. Hector G. Sosa Description of Encroachment. Install 4' high chain link fence in front and side yards of property. 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. S:\PERMITS\ENCROACH\2009 approval letters\4501 Santa Cruz StAoc D _ IS.. E 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: July 30, 2009 SUBJECT: Encroachment Permit Application for: 4501 Santa Cruz St. Name of Applicant. /-lector G. Sosa Description of Encroachment: Install chain link fence in front & side yards. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. r ~ r S:\PERMITS\ENCROACH\INSURANC\4501 Santa Cruz StAoc D- A 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: July 30, 2009 SUBJECT: Encroachment Permit Application for: 4501 Santa Cruz St. Name of Applicant. Hector G. Sosa Description of Encroachment: Install chain link fence in front and side yards. Please review the attached encroachment permit and return to me at your earliest convenience. ~o S:\PERMITS\ENCROACH\TRAFFIC\4501 Santa Cruz StAoc A K E R S 7F Y E 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: He_c-ror f6 ° -5f5s;a, 6 6,61 ) 5~ -3 6 - aG qg-- 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...) aw- 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) U aid avid &i d -e Val gsz i Ceq-2SA 4. Period of time for which the encroachment is to be maintained: ndefinite or Other. Jode-A t de ease 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 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:\E ncroachmentPermits\Appf icationforEncroachment rlj `r -P w N ~ e,v c e1v N ~ Odcc4q 32 ~ 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. By: SOS, a (Street for proposed encroachment) (Owners Name) Of Phone: (Address of proposed encroachment) SIGNED: 1.) Name C 't; o cr 4 e©c 4114 Address: 2.) Name: Address: 3.) Name: Address: 4.) Name'. Address: 5.) Name: Address: 6.) Name: Address: /11 Date: 6 3 -p F Date:,,, 0 /0 9 -Y/ Date: 13010 OL a Date: ~9~i cl Date: Date: Policy Number: 939305496 EVIDENCE OF PR®PERrf INSURANCE DATE(MMIDD/YYYY) 7/28/2009 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 AFFORDED BY THE POLICIES BELOW. AGENCY PHONE (661) 845-1465 A/C No Ext: COMPANY Been Insurance Agency FARMERS INSURANCE Lamont Office 11112 Main St 2$22 F ST STE I Lamont, Ca. 93241 Lic#0792747 BAKERSFIELD, CA 93301 FAX E-MAIL No:(661)845-1533 ADDRESS: blanca55@bak.rr.com CODE: 123 SUB CODE: 456 AGENCY CUSTOMER ID INSURED LOAN NUMBER POLICY NUMBER 0145761144 939305496 HECTOR SOSA EFFECTIVE DATE EXPIRATION DATE 4501 SANTA CRUZ ST CONTINUED UNTIL BAKERSFIELD CA 93307 5/18/2009 5/18/2010 TERMINATED IIFCHECKED , THIS REPLACES PRIOR EVIDENCE DATED: r-M%jrr_M 1 Y 11N9rumliy LOCATION/DESCRIPTION SAME AS ABOVE 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 AMOUNT OF INSURANCE DEDUCTIBLE HOMEOWNERS DWELLING COVERAGE 204,000 1,000 PERSONAL LIABILITY COVERAGE 300,000 ANNUAL PREMIUM PAID IN FULL 474.39 REMARKS (including Special Conditions) CANCELLATION SHOUL ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 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 MORTGAGEE ADDITIONAL INSURED SUNTRUST MORTGAGE INC LOSS PAYEE ISAOA LOAN# PO sox 57028 0145761144 IRVINE, CA 92619 AUTHORIZED REPRESENTATIVE 1 ACORD 27 (2006/07) © ACORD CORPORATION 1993-2006. All rights reserved. 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