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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. &d ld4tLZ g &� Z-(,fi "D / CCt-'VVYIn v-% F—(6 v� 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. �Z Signature of City Engineer Additional Ternls on the Back / l 3L7e� °aoo� !L 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...) 61a i //d 5 Ze Location of proposed encroachment (Example: Side yard at back of sidewalk or front yard at back of sidewalks) _ <'rA� a� FfytJ ✓e NCB 7Z� S"r��°Gvv -/� 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. c P nni(1C�C1�YY> -- Ey:�ernr�r�rin ��iernf�f7(or(f S S i�et for ro os�d encia hmm�l (Owners Name) sr l l2 y�lurvlhf�m 73313 bs.< to 1 3q(, R -74 (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. hQ2Rri�s/�on/— Ibuaet loiloi7propor wcronehnient) (owners Nzme) 1` ^76 �,nddruss oY' proposeA cncmachmeno) 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 «d c 0 ». . � ds« ; - .. )� 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. 3/3(/2 of sl6lrf UF)V- !S 0 -e. eke NFM-1 s&Pf'o ,W 6 Pr 045tJ2 FF-04 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