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HomeMy WebLinkAbout1500 Pacific StreetENCROACHMENT PERMIT jr4 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- 30000038 Date 12/11/17 Property Address . . . . . . 1500 PACIFIC ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor -- ------- ------ --- - - - - -- ---------------- -- - - - - -- CORONA MARTIN PEREZ & PEREZ CO OWNER 11001 VISTA DEL CHRISTO DR BAKERSFIELD CA 93311 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2118677 Permit Fee . . . . 420.00 Issue Date . . . . 12/11/17 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 420.0000 EA PW ENCROACHMENT 420.00 ---------------------------------------------------------------------------- Special Notes and Comments December 11, 2017 2:39:05 PM mmendenhal. Existing 4' high brick and wrought iron fence along Pacific Street and side of house on Brown Street with gate across driveway. MUST FOLLOW SIGHT DISTANCE REQUIREMENTS PER ATTACHED PROPOSED CITY STANDARD T -11 DATED 12 -2015 Contact person: Martin Perez 343 -0640 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due - --------- - - - - - -- ---- - - - - -- ---- - - - - -- ---- - -- --- ---- - - - - -- Permit Fee Total 420.00 420.00 .00 .00 Applicant aCKnowed' ges the rig` t °0�'the Cify °Enigineer, pdguant to thy° Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. ('nq� tt-d 6) 1140&t 5aEL-0 E- P—F Z— Signature of Applicant (Ow 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) (DE D) Said mit shall expire on date stated above. ignature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ElS CROACHMENT(Address required where available): 1,5�2) i'(%tA/ 41 C !37L If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT COMPLETE ADDRESS: 15—N) 77T PHONE: FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): PERIOD OF TIME FOR ENCROACHMENT: INDEFINITT ojr OTHER: ce CONTACT PERSON M6 4 111 ±F' 11,e L PHONE: (eo I 3 43, 0 ti YD 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 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: $420.00 S :\PERMITS\ENCROACH\Encroachment Permit Req Fonn.DOC Aug. 2017 .0000 BAKERSFIELD 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 soo Rac i:6 5—F By: �lc�� �.� ��Y:�eL (Street for proposed encroa ment) (Owners Name) 2 �� 4 � I Phone. U� 13 CJ CC�'t (Address of proposed encroachment) SIGNED: 1.) Name Addre 2.) Name 3.) 4.) Address: ` \ -) I Name: &V-rLf4c' Address:!` D Name: - Address: 5.) Name: ALIna Address: ` Qu 6.) Name: Z j2 r�z i p Address: y� 2- fo wj, S • See Signatures needed for approval page Date: 4L —q— Date: Date: /') r Date: , '9' ) -� Date: r 2// 0 Date: / / /0 // // co G 0 0--o r- Q CV E d) 0 o C7 n O 3i 1 500 Pacific St - Google Maps Go gle Maps 1500 Pacific St Page 1 of 1 FIR `J F/OWer YUl'1 OLJ Q S be-. : LJ--kl v- _ acK . Ortvon S t Image capture: Jul 2015 © 2017 Google Bakersfield, California Google, Inc. Street View - Jul 2015 https: / /www.google.com/maps /place / 1500 +Pacific +St, +Bakersfield, +CA +93305/ @35.38... 12/13/2017 1500 Pacific St - Google Maps Google Maps 1500 Pacific St z % 3te p-, r� Page 1 of 1 �ti } .�`, Oe. I Image capture: Jul 2015 ® 2017 Google Bakersfield, California A. C Google, Inc. f + Street View - Jul 2015 FjOWer A AA�— �.i CIS C��►'le✓ Cj s( U ell All C C`"t https:Hwww.google.comlmaps /place /1500 +Pacific +St,+ Bakersfield, +CA +93305/ @35.38... 12/13/2017 1500 Pacific St - Google Maps Go gle Maps 1500 Pacific St Page 1 of l 1111111 I • i 1! 911 M W Image capture: Jul 2015 © 2017 Google Bakersfield, California Google, Inc. Street View -Jul 2015 https: / /www.google.com /maps /place /1500 +Pacific +St, +Bakersfield, +CA +93305/ @35.38... 12/13/2017 40 B A K E R S F I E L L PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III •�, FROM: Michelle Mendenhall, Engineering Tech I DATE: December 13, 2017 SUBJECT: Encroachment Permit Application for: 1500 Pacific Street Name of Applicant: Martin & Consuelo Perez Description of Encroachment Existing 4' high brick and wrought iron fence along Pacific Street and side of house on Brown Street with gate across driveway Please review the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \TRAFFIC \1500 PACIFIC ST.doc 40 '.00e B A K E k S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Michelle Mendenhall, Engineering Technician I DATE: December 13, 2017 SUBJECT: Encroachment Permit Application for: 1500 Pacific Street Name of Applicant: Martin and Consuelo Perez Description of Encroachment: Existing 4' brick and wrought iron fence at back of sidewalk along side of house and front of house Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS \ENCROACHIINSURANCE \1500 PACIFIC ST.doc1500 PACIFIC STREET PREMIER INSURANCE SERVICES, INC. 661 - 397 -9800 1601 PANAMA LANE STE D104 BAKERSFIELD, CA 93307 Return Service Requested CONSUELO PEREZ 11001 VISTA DEL CHRISTO DR BAKERSFIELD, CA 93311 -9045 AEGIS SECURITY INSURANCE COMPANY CMIGIS PO BOX 889004 SAN DIEGO, CA 92168 -9004 Effective Date: 12/11/2017 12:01 AM PT Or the effective time shown on your application whichever is greater Expiration Date: 12/11/2018 12:01 AM PT Unless cancelled earlier for valid reasons. Policy Number: 0113038082 As part of our underwriting procedures, an inspection of the risk address will be conducted by an independent inspector. Unless special circumstances apply, the exterior oniv inspection does not require an appointment. Note: Refusal of the inspection will result in the cancellation of the insurance polity. Program: DP -3 New Business Declaration Page Prnnnrty I nrntinn- Address City State Zip Code 1500 PACIFIC ST BAKERSFIELD CA 93305 -4813 MM T!rNr.VIRTEQS11 # Last Name First Name Date of Birth 1 PEREZ CONSUELO 01/21/1980 2 PEREZ MARTIN 08/27/1975 testing Information (For dwellings deeded in a name other than an individual . For example, a Living Trust) Entity on Title Additional Interest: # Name Address city State Zip Code Prnnorty I nratinn rlatailr Occupancy Type Construction Type Year Built Square Feet Roof Type Roof Condition Roof Age Wildfire Score Tenant Wood Frame 1920 840 Asphalt /Composition Good 25 ON Issued Date: 12/11/2017 Page t of 3 CADP3 -DEC 03/17 Insured Name: CONSUELO PEREZ Policy Number: 0113038082 SELECTED COVERAGES AND LIMITS OF LIABILITY The insurance afforded is only with respect to the following coverage as are indicated by specific premium charges. The limit of the company's liability against each such coverage shall be as stated herein, subject to all of the terms of this policy. COVERAGE LIMIT / SELECTION PREMIUM Coverage A - Dwelling $160,000 $410 Coverage B - Other Structures $16,000 Included Coverage D - Fair Rental Value $16,000 Included Coverage L - Personal Liability $300,000 $125 Coverage M - Medical Payments to Others $1,000 Included Policy Deductible $1,000 Included Actual Cash Value Coverage for Roofing and Roof Components Coverage Applied Included Companion Auto Discount Level 1 $ -8 Newly Acquired Home Selected $ -37 TOTAL PREMIUM: $490 INSPECTION FEE: $35 POLICY FEE: $25 TOTAL POLICY PREMIUM: $550 This Declaration page supersedes any previous Declarations bearing the same policy number for the same policy period. You saved $45 by choosing Aegis Homeowners insurance! issued Date: 12/11/2017 Page 2 of 3 CADP3•DEC 03117