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HomeMy WebLinkAbout1128 Valdes CtENCROACHMENT 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 . . . . . 17- 30000015 Date 3/24/17 Property Address . . . . . . 1128 VALDES CT Application type description PW - ENCROACHMENT PERMIT Owner Contractor ---------------- -- - - - --- ------------------------ DELUNA ALFREDO CONTRERAS & CAR OWNER 1128 VALDES CT BAKERSFIELD CA 93307 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1990795 Permit Fee . . . . 213.00 issue Date . . . . 3/24/17 Valuation . . . . 0 Qty Unit Charge Per BASE Extension 213.00r1� -FEE ---------------------------- Special Notes and Comments 3' block retaining wall with 6' wood *wall must be min. 4' away from NWIt+' {� �n fence behind sidewalk on Quest St. mailboxes. �� ��1��• Alfredo Deluna 444 -3600 �Kh'1 ---------------------------------------------------------------------------- Fee summary Charged - -- ---- Paid - - - - -- Credited -- -- - -- - -- ---- Due -- ---- - ---------- -- - - -- --- - - -- Permit Fee Total 213.00 213.00 .00 .00 Grand Total 213.00 213.00 .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. �s (r.►�`( C L 1, Vie; VU`— c�Y \�V\ &I ��� U YN' cl�— Signature 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) (DE ) Sai permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless 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 or judicial tribunals of any kind whatsoever, arising out of connected with, or caused by applicant, or in any way arising from, the terms and provision of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment, including, but not limited to, repairing or replacing the encroachment at Applicant's cost even if CITY inadvertently damages or destroys the encroachment in the ordinary course of CITY's business, during the life of the 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 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 restore 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 must contact Dig -Alert at 811 at least 2 full working days prior to all excavating. 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 issuance evidencing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. l ha���read and acknowledge the above. �'JApplicant's Initials t yJ i �L+ sa s� 41 � a 0 v � U 44 G N 44 Cl � 3 —1 cd 3 0 � � v w o H — a A � Pa N td A � � I ,►J ;y V" H L � 7 I w C" PC 1� !f there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME COMPLF. APPLICANT PROJECT INFORMATION DESCRIPTIO/N OF ENCROACHMENT (Example: Wood or+ wrought iron fence, concrete block wall, raised planter, etc.): PERIOD OF "TIME FOR ENCROACHMENT: DEFINITE Zr OTHER: (Please Circle) r '/ ,I p "tte�&- CONTACT PERSON . �/ I�-C' PI -TONE 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 Cily Engineer applicant will at his own cost and expense remove the same from the public gropertx or right of way where the same is located, and restore 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 evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $300 0'Z 13 . � o Aug. 2016 SAPERMITMENC'ROAC I N:ncroachment Permit Req Form.DOC 40 gAK IF, ]It SFIE IL, D Public Works Department 1501 Truxtu n Ave n u e 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. (Street for proposed encroachment) It Z F 11o'l cis c-r.' (Address of proposed encroachment) SIGNED: By• --I6y-Ay belalLCk- (Owners Nam/e) Oc) �' 1.) Name: �/ Date Address: /lam' (/'9�ii✓�5 2.) Name: he Date: Address:�j�V�` `i f Date (i r 17 3.) Name: v. ��l �ryc" t Address:��� 4.) Name:� Date-"'? Address: 5.) Name: :5 ,f� C t �U S Date::i•._ / . —� Address: 1> 5 7 6.) Name: Date: Address: See Signatures needed for approval page TZ�.= J /9�c�. l��• � ,�cYZ 1�e�9'16,.'Y:s �i�`��1 f� � CII.14 e Azlol �fT i• a • S F T E 1. I PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III FROM: Kirk Boland, Engineering Tech I DATE: April 7, 2017 SUBJECT: Encroachment Permit Application for: 1128 Valdes Ct Name of Applicant: Alfredo Deluna Description of Encroachment: 3' block retaining wall with 6' wood fence behind the sidewalk on Quest St. Z-fn" -- - It`� Please review the attached encroachment permit and return to me at your earliest convenience. v\ \ Pr S \PERMITS \ENCR0ACH \TRAFFIC \1128 Valdes Ct.doc OUVA090 ;094S '09 JOWO PUD qjrto I .YIDAISPIS ps doJd - IPUNSIX3 . ..... . . ....... O �y� \�io l k lu Z 04 O to 11.8 IM i to - —1 o� v� W� �m WQ Qz ohm mC4 ja 'K O • F T E L }> PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager *j FROM: Kirk Boland, Engineering Technician I DATE: April 7, 2017 SUBJECT: Encroachment Permit Application for: 1128 Valdes Ct Name of Applicant: Alfredo Deluna Description of Encroachment: 3' block retaining wall with 6' wood fence behind the sidewalk on Quest St. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S \ PERMITS \ENCROACH \INSURANCE \1128 Valdes Ct.doc I i Or K-I N (3 -.A-.-"[ ?Ii, Oj) to, 4�4 c4 - HOMEOWNERS POLICY FirstAinerrcan AMENDED DECLARATIONS �\ Specialty Insurance Company POLICY NO: CASH 333177 Customer Service 888.47 t -75001 www.fapcig.com 4 First American Way, Santa Ana, CA 92707 A California domiciled company BROKER NUMBER: 002602 BROKER PHONE: (661)833 -0300 BROKER NAME: NAMED INSURED: ALFREDO DELUNA CAROLINA DELUNA 1128 VALDES CT BAKERSFIELD, CA 93307 MCA INSURANCE SERVICES 1731 HASTI -ACRES DRIVE, 11205 BAKERSFIELD, CA 93309 Location of property insured: 1128 VALDES CT BAKERSFIELD, CA 93307 REMARKS: INCREASE PERSONAL LIABILITY TO 300K PER INSURED REQUEST Due to the change noted in Remarks, coverage shown on this Declaration page is effective 0312112017 Insurance is provided only with respect to the following coverages for which a limit of liability and/or premium is specified, subject to all conditions of this policy. We will pay only that part of the total of all loss payable under Section I that exceeds the deductible amount shown in the Declarations, subject to the policy limits that apply. The deductible applies per occurrence. Based on the information available to us. the premium shown is the lowest we offer for which you qualify. Policy Period. 12 months From: 0611412016 To: 06/1412017 12:01 a.m., STANDARD TIME at the location of property insured. NOTICE: THIS POLICY DOES NOT PROVIDE COVERAGE FOR THE PERIL OF EARTHQUAKE Dec 1 of 2 WEB ID. 162C609642 BKR FILE COPY Forms and Coverage/ Policy Coverage Endorsements made Coverage Description Limit Deductible Premium part of this policy Amount at time of issue: COVERAGE A - DWELLING 5230,788 $646.00 FSH01 06 11 COVERAGE B - OTHER STRUCTURES $23,079 INCL. FSH021 04 14 COVERAGE C - PERSONA_ PROPERTY S115.394 INCL FSH073 01 14 COVERAGE D - LOSS OF USE $46.158 INCL. HO 00 03 04 91 COVERAGE E - PERSONAL LIABILITY S300,000 516.00 HO 01 04 02 98 COVERAGE F - MEDICAL PAYMENTS TO OTHERS S1,000 INCL. 438 BFU NS 05 42 DEDUCTIBLE S1,000 S- 125.00 HO 04 16 04 91 t OIMEOWNERS PLUS EiZ3RSENIEN T iNOL. iiv v" 5ii ur �-;; i ORDINANCE OR LAW $23,079 INCL. HO 24 90 0193 CREDIT CARD COVERAGE S500 INCL. FIRE DEPT SERVICE CHARGE COVERAGE $500 INCL. BUSINESS PROPERTY $2.500 INCL. JEWELRY, WATCHES AND FURS S1,000 INCL. LOSS ASSESSMENT COVERAGE S1.000 INCL. SILVERWARE, GOLDWARE AND PEWTERWARE $2.500 INCL. WORKERS COMPENSATION -OCC EMPLOYEE INCL. New or Revised Form 25% EXTENDED REPLACEMENT COST COVERAGE A - DWELLING TOTAL PREMIUM. $537.00 A $5.00 per installment service charge Countersigned: 03/22/17 Santa Ana, CA By: applies if you pay in Installments. Payment in full will avoid this service charge. James J. Court. CPCU ARe President Authorized Representative NOTICE: THIS POLICY DOES NOT PROVIDE COVERAGE FOR THE PERIL OF EARTHQUAKE Dec 1 of 2 WEB ID. 162C609642 BKR FILE COPY POLICY NO CASH 333177 MORTGAGE LIENH ER NAME AND ADDREraS WELLS FARGO BANK N.A. #936 ITS SUCCESSORS AND /OR ASSIGNS PO BOX 100515 FLORENCE. SC 29502-0515.0414948463 ADDITIONAL INSURED/ ADDITIONAL INTEREST VESTING ALFREDO DELUNA AND CAROLINA DELUNA REPORTED SQ. FT. OF DWELLING: 1512 Occupancy Type: OWNER INSURANCE PURCHASED PER SO. FT: $153 Protection Class: 3 # of families /units: 1 The limit of liability for this structure (Coverage A) is based on an estimate of the cost to rebuild your Year of Construction: 2005 home, including an approximate cost for labor and materials in your area, and specific information Tier: 1 that ou have provided about our home. y p y Inflation Guard %: 2.6% It is important to keep in mind that the decision regarding the limit applicable to your dwelling (Coverage A) is solely your decision to make provided that you purchase at least the minimum limit acceptable to First American and meet our underwriting requirements. It is equally important to keep in mind that you need to carefully review the information about your dwelling shown above and if it requires any change please contact your insurance broker or First American immediately. Additional y, if you have any questions or concerns regarding the amount of coverage on your dwelling. please contact your insurance broker or First American. DISCOUNTS VALUED CUSTOMER SINCE 05/28/2012 - S53.00 SMK ALRMr'DEADBOLTr1= XTINGUISHER - 530.00 NEW HOME DISCOUNT - S46.00 DEDUCTIBLE - $125.00 THESE DISCOUNTS APPLIED TO YOUR POLICY ARE BASED ON THE CURRENT ANNUAL PREMIUM. THIS DISCOUNT IS PART OF YOUR PREMIUM CALCULATION AND HAS NO AFFECT ON YOUR INSURANCE COVERAGE THESE DECLARATIONS TOGETHER WITH POLICY JACKET. HOMEOWNERS FORM. AND ENDORSEMENTS. IF ANY. ISSUED TO FORM A Dec 2 of 2 PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY