HomeMy WebLinkAbout3712 WYNDHAM AVEENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(661) 326 -3724
APPROVED
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 . . . . . 11- 30000008 Date 3/18/11
Property Address 3712 WYNDHAM AVE
Application type description PW - ENCROACHMENT PERMIT
FLORES FERNANDO & CARMEN L OWNER
3712 WYNDHAM AV
BAKERSFIELD CA 93313
Pemit ENCROACHMENT PERMIT
Additional deac . .
Phone Access Code 1081157
Permit Fee . . . . 208.00
Issue Date . . . . 3/18/11 Valuation . . . . 0
Dry unit Charge Per
1.00 208.0000 EA PW ENCROACHMENT
------------ - ----- -- • --------------------- - - - - -
.
Special Notes and commence
Block wall and concrete fence - 8' at
low point and 6'at high point.
Fernando Flores - 661 - 390 -6576
Fee ounnery Charged Paid
----------------- ---------- ----------
Permit Fee Total 208.00 208.00
Grand Total 208.00 208.OD
Extension
208.00
---------------------------
Credited Due
.00 00
00 Da
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit at any time.
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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) ONSTiTUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFO�DENIED). Said permit shall expire on date stated above.
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Signature of City Engineer
Additional Ternls on the Back
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B A K E R S F I E L 0
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: Qwegi /ic% S'
2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron
fence, oc wa raised planter,. etc...)
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Location of proposed encroachment (Example: Side yard at back of sidewalk or front yard at back of sidewalks)
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a. Period of time for which the encroachment is to be maintained: KndcZn,`tD or Other. — �V1dcT " °Y
lea Circle)
S. Is property part of a Homeowner's Association Yes No
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
or right of way to me cond Rlon'as
nearly as that in which it was before the placing, erection, maintenance
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 amounts) 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
anytime.
S % EncroechmentPermitsWppricationforEncro chment
B A IC E r S F I E L D
Public Works Department
1501 Truxtun Avenue
SakersFleld, California 93301
(661) 326 -3724
TO WHOM IT MAY
We the undersigned, have no objection to the construction of a fence beside the sidewalk within the
Public right -of -way.
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S i�et for ro os�d encia hmm�l (Owners Name)
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(Address or prooased ncronchment)
SIGNED-
1 ) Name:
Address.
2.) Name:
Address:
3.) Name.
Address:
4.) Name
Address.
5.) Name:
Address:
6.) Name
Address.
Date:
Date:
Date:
Date,
6 A K ER S F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 325 -3724
VO VVHO(N IT INA`f CONCERN:
We the undersigned, have no objection to the construction of a fence beside the sidewalk within the
public right -of -way.
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Ibuaet loiloi7propor wcronehnient) (owners Nzme) 1` ^76
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SIGNED:
1.) Name e- 7 4ir— a AveL Date: 2 U
Address: 3`jo8 c l.s. -r r/r 13c1 2
CC, t31t
2.) Name: LAY— — Date: l//
Address: $3lSNa@rh9n'Nw ✓J /u F3
3) Name.
Address.
4..) Name:.
Address:
5)Name:
Address:
6) Name.
Address
Date Z// W
Date: -//
Date: -?.z 7 — //
Your Policy Number: H32 -268- 744522 -401 0
Policy Period: 01/13/11 to01 /13/12 12:01AM Standard Time at the Insured Residence Premises
Reason for This Notice: This Declaration Effective: 01/13/11
New Homeowners Policy
Premium Summary
Liberty Mutual Fire Insurance Company
CM
Libert ®l) Delux
�
Additional Coverages
tyrGuard e
151.00
Discounts
M ut ®
Homeowners Policy Declaration Liberty Mutual Group
NAMED INSURED AND MAILING ADDRESS: AGENT: THERESE MULHALL
CARMEN FLORES HUSH /WIFE JT
(805) 466 -3300
FERNANDO FLORES HUSB /WIFEJT
8740 PUEBLO. AVENUE
3712 WYNDHAM AVE
SUITE 206
BAKERSFIELD CA 93313 -4292
ATASCADERO CA 93422
INSURED RESIDENCE PREMISES:
SERVICE: 800 - 869 -4009
SAME AS MAIL ADDRESS
CLAIMS: 800- 2CLAIMS (800 -225 -2467)
S 600
WEBSITE: www .libenymutual.com /Ini/insurance
Your Policy Number: H32 -268- 744522 -401 0
Policy Period: 01/13/11 to01 /13/12 12:01AM Standard Time at the Insured Residence Premises
Reason for This Notice: This Declaration Effective: 01/13/11
New Homeowners Policy
Premium Summary
Base Policy Coverages and Limits
$
1,146. 00
Additional Coverages
$
151.00
Discounts
$
(639.00)
Total Annual Premium
5
658.00
Premium Detail.
Base Policy Coverages and Limits
Deductible Limits
Premium
Section I
Coverage A - Dwelling with Replacement Cost
$ 210,000
Coverage - Other Structures on Residence Premises
$ 21,000
Coverage C - Personal Property with Replacement Cost
$ 157,500
Coverage D - Loss of Use of Residence Premises.
Actual Loss Sustained
Section I Deductible
Losses covered under Section I are subject to a deductible of :
S 600
Section II
Coverage E- Personal Liability (each occurrence)
S 300,000
Coverage F - Medical Payments to others (each person)
S 1,000
Total Base Policy Coverages and Limits
$ 1,146
Additional Coverages.
Deductible Limits
Premium
Credit Card, Fund Transfer Card, Forgery (HO 04 53 04 9l)
$ 1,000
$ 0
Home Protector Plus (FMHO -2147 R2)
$ 111
Section I1 coverages extended to additional residences:
Location l:
$ 11
1701 SAINT CLAIR CT BAKERSFIELD CA 93304 -7334
1 family rented year built. 1979
Coverage E increased limit
$ 26
Workers Compensation. Coverage (HO 24 90 01 93)
Workers Compensation Coverage
$ 3
Total Additional Coverages
$ 151
Helping People Live Safer, More Secure Lives Pnen I
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S h I3 R S F I T? L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: March 18, 2011
SUBJECT: Encroachment Permit Application for: 3712 Wyndham Ave
Name of Applicant: Fernando & Carmen Flores
Description of Encroachment: Block wall and concrete fence on side of
house — 8' at lowest point and 6' at highest.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S: IPERMITSIENCROACMTRAFFIC�3712 Wyndham Ave doc
B A K E R S F I E L I)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ralph Kom, Risk Manager
FROM:
Bob Wilson, Supervisor II, Subdivisions
DATE:
March 18, 2011
SUBJECT:
Encroachment Permit Application for: 3712 Wyndham Ave
Name of Applicant: Fernando & Carmen Flores
Description of Encroachment Block wall and concrete fence on side of
house — 8' at lowest point and 6' at highest.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S: TERMITSIENCROAGMINSURANC63712 Wyndham Ave.doc