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Home My WebLink About3012 UNIVERSITY AVEen ENCROACHMENT PERMIT pY' wvrou 9 CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE V' BAKERSFIELD CA 93301 C LIFO (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 . . . . . 12-30000001 Date 1/26/12 Property Address 3012 UNIVERSITY AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor ________________________ MEDINA GUILLERMO M A ROMA R OWNER 3012 UNIVERSITY AV BAKERSFIELD CA 93306 ---------------------------------------------------------------------------- Permit . . ENCROACHMENT PERMIT Additional dose . . Phone Access Code 1168517 Permit Pee 208.00 Issue Date . . . . 1/26/12 valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ____________________________________________________________________________ Special Notes and Comments January 26, 2012 9:53:12 AM mmandeMal. �'' {-}(q+{ Mra,Fr-� 1-7•o&•I PQ.A Wrought iron fence with brick columns i 'front yard and side yard behind sidewalk guillermo medics - 873-1688 ---------------------------------------------------------------------------- Fee ary Charged Paid Credited Due __________ __________ _________________ Pers t Fee Total __________ 208.00 __________ 208.00 .00 .QO Grand Total 208.00 208.00 .00 .no Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permitat any time. /'�s�.�(z2anf•%�%ii%.ua,�-!` Gr// /4-7KM'o —/t1(' /IiJ/JN'/ 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 16 THEREFORORANTEO(DENIED) Said permit shall expire on date stated above. 2+1z Signature of City Engineer Additional Terms on the Back E A K 6 R S F I E L D Public Works Department 1501 Truxlun 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 I1, 2. Natureor description of the encroachment for which this application is made ,(Example: Wood or ywought iron fence, concrete block wall, raised planter, etc...) be (.I( t u _ Jx C �� Qn.-1. I Vhh of proposed encroachment. (Example: Side yard at back of sidewalk or front yard at back of sidewalk) Q A. Period of time for which the encroachment is to be maintaine fnaetmne' or Other. ease Circle) 5. Is property part of a Homeowners Association Yes. — V-1_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 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 types) 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. 595ncroachmentPennitsWpplicationforEncroachment Eagle. West Ince Company Page: 1 This declaration is No 1 and is effective 05/29/2002• .POLICY NUMBER When attached to thea applicable forms, it completes the 8 -HOC -2-1026678 pp p policy. Rewritten from 1026678 INSURED: Medina, Guillermo M & Rosa. R 3012 University Ave Bakersfield CA 93306 .Start of Term: 05/29/2002 End of Term: 05/29/2093 Renewed Annually AGENT: 58850 PRODUCER: rml Eagle West Premier 47.09 Stockdale Highway Bakersfield CA 93309 Phone: 661-837-9378 Emergency Claims: 1-800-682-9255 PROPERTY LOCATION: 3012 University Ave Bakersfield CA 93306 Unit No: l.; Construction: Frame; Year Built: 1958;.. Territory: 55; Property Zip: 93306; Protection. Class: 3 Homeowners Policy Coverage Form - FORM 3 Limit Premium A Dwelling 152,000 466.00 B Other Structures 15,200 C Unscheduled Personal Property 106,400 D Additional Living Expense 30,400 E Personal Liability 300,000 25.00 F Medical Payments Each Person 1,000 Each Accident 25,000 Premium Surcharges/Credits $500 Deductible * -56.09 Multi Policy Discount -21.00 Renewal Credit -39.00 Century Age Credit -18.00 Optional Coverages/Mandatory Fees Dwelling Replacement Cost 10.00 Contents Replacement Cost 47.00 Cal -Pak Coverage Included Ordinance. or Law Coverage is included in policy limits 30.00 for coverages A and B. Other Endorsements 12.00 Workers- Com creation (Mandate) p ry 5.00 Total Annual Premium $ 461.00 Forms: 02-083, 02-277, 02-304, 03-304, 03-347, 438 BFU, EQUOTE, HO -290, HO -70, PD -170, PD -175 Annual Inflation Guard: 6.00% This Policy contains a $500 deductible on Coverage A, B, and C. This policy does not provide.. Earthquake Coverage. HO -3 Includes the forms: HO -350, HO -300, HO -216, HO -52, HO -325, HO -90, HO -322, HO -243 Authorized Signature ' Vµ 04/18/2002 Named Insured: Medina, Guillermo M & Rosa R Limit Dwelling fire Declaration Policy #: 2-DFC-2-1123774 Declaration Type: Extension $5.00 Effective: 07/15/2005 $86.00 Dwelling Unit # 1 Coverage - Form DP3 -$86.00 Property Location:. 3012 University Ave, Bakersfield, CA 93306 -$21.00 Description: 1 Family Dwelling; Year Built: 1958; Occupancy. Tenant Occupied; Construction: Frame; District 0; Territory: 44, Protection Class: 3 Medical Payments Each Person $1,000 Basic Coverage/Premium Limit Premium Total Annual Premium for Unit #: 1 $458.00 Dwelling: Fire & Lightning $182,510 $286.00 Special Form $143.00 Other Structure: Fire & Lightning $18,251 Incl. Special Form incl. Contents: Fire & Lightning N/A N/A Special Form N/A The limit of liability for this structure .(Coverage A) is basedon an estimate for the cost to rebuild your home, including an approximate cost for labor and materials in your area, and specific information that you have provided about your home. As a Company, we will make property evaluations from information provided by you in assessing the value of your home.. As mentioned in the statement above, it is. an estimate of the cost to rebuild your home; however; your home may cost more to rebuild. It remains your sole responsibility to maintain a limit of liability for the described dwelling (Coverage A) that adequately corresponds to the amount it would cost to reconstruct your entire dwelling at current prices. Optional Coverages Limit Premium Dwelling (Full Value) Replacement Cost $5.00 Ordinance or Law Coverage — is included in the limits of Coverage A and B $86.00 $500 Deductible Credit -$86.00 Protective Device Credit -$21.00 Owner, Landlord & Tenant's Liability $300,000 $37.00 Medical Payments Each Person $1,000 $8.00 Each Occurrence $25,000 Total Annual Premium for Unit #: 1 $458.00 Annual .Inflation Guard: 9.00% This policy contains a $500 Deductible. Earthquake Coverage is not provided for this dwelling location. Unit#1 Forms: EQUOTE(01/90) DP -3 (01184) DP -216 (11/82) 03-347(05/01) 03-332(01/02) DP 04 71 (07/88) DF -DRC (09/97) L6417 (01173) 991-C (05/74) 991-N (05f74) L6421 (10/77) 438BFU NS (05/42) PD -175 (01/05) Mortgagee - Form 438BFU NS: Mortgagee #1 Wells Fargo Home Mortgage ISAOA„ P.O. Box 6502, Springfield, OH 45501-6502 Page 2 Process date: 05/24/2005 1-511, B A K E R S P I B L C, Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (551)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. 3�►� lin rcVSi By: ;tIU h *� (Street for proposed encroacBmenl) (owners Nq} e) 1 1 p (� Of Phone d O (Address of proposed encroachment) SIGNED: 1.) Name: Address: Name T/e I1L 1/ .lt�:Tili ..iii f --L r Address 2/..21. K: -NS - Address .4 '�. moi l Address: _Z,�Lo • Date.i2 Date: Date Date: Date: Date. bj. J_'R u i L 2l� l'i I) K, vu" t 2 —z - I_IL — (Z .�2 E A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: February 1, 2012 SUBJECT: Encroachment Permit Application for: 3012 University Ave Name of Applicant: Guillermo & Rosa Medina Description of Encroachment: Wrought iron fence with brick columns in front yard and side yard behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. 1,- �.IrL S: WERMITSIENCROACFAINSURANGE13012 UniversityAve.doc �L P, A I� E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: February 1, 2012 SUBJECT: Encroachment Permit Application for: 3012 University Ave Name of Applicant: Guillermo & Rosa Medina Description of Encroachment: Wrought iron fence with brick columns in front yard and side yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 'Zl/�r2O/Z University Ave dx pit Im 3tv'AP". MOP