HomeMy WebLinkAbout6201 FRANK J FLETCHER STBAk ENCROACHMENT PERMIT
+ CITY OF BAKERSFIELD
U d PUBLIC WORKS DEPARTMENT
4� 1501 TRUXTUN AVE
BAKERSFIELD CA 93301
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 . . . . . 12-30000039 Date 10/09/12
Property Address 6201 FRANK J FLETOHER ST
Application type description PW - ENCRQACHDfSW PERMIT
Owner Contractor
------------------------ ------------------__--_-
OLIVO JQAN ANTONIO OWNER
6201 FRANK J FLETCHER ST
BAKERSFIELD CA 93304
---------------------------------------- -----------------------------------
Permit . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 1252303
Permit Fee . . . . 200.00
Issue Date . . . . 10/09/12 Valuation . . .
. 0
Qty Unit Charge Per
Extension
1.00 206.0000 EA PW ENCROACHMENT
206.00
Special Note. and Comments
October 9, 2012 9:26:09 AM weendenhal,
Existing concrete footing with w ought
iron fence at back of sidewalk. Fence
will be 2' from water valve box. Contact
Person : Juan Olive 661-369-9328
----------------------------------------------------------------------------
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 208.00 208.00 .00
.00
Grand Total 208.00 206.00 .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.
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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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE QRANTED (Mlll Said permit shall expire on date stated above.
Signature Of City Engineer
Additional Terms on the Back
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2
E
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.
IIn Full name of applicant and complete address including phone number: ` inry A- ��W n
2�Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron
fence, concrete block wall, raised planter, etc...)
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3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
4. Period of time for which the encroachment is to be maintained: fridefinih or Other.
(Please Circle)
5. 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
o- r upon e
property or rioht of wav 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 type(s) 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.
S'.tE,.r..ch.eotPemitsWpplicabonforEncroachment
B A I< E R S F I E L D
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. rA,
Y. 1U H lotie Ya
'tteet for proposad axroachm6
snt) (wnerslJame)
Of 2huno nl� 369932A
(Address of proposed encroachmenr)
SIGNED:
1.) Name: �i�?.✓l r5 c O e5Eif %to ,�
Address: 62-ot7 �,AA.,k i i=irc )t,,-
2,)
tesF
2.) Name:
Address:
3.) Name:
Address:
4.) Name:
Address.
5) Name:
Address:
6.) Name:
Address:
Date. / d — 8 — 12_
Date: [O —7-12
Date:
Date 8 — �—
Date:
Date:
Evidence of Insurance for Mortgagee/Other Interests &� F A R M E R S
This form is not the contract of insurance. It is a memorandum of coverage limited to mortgage elother interests, provided at their request and
applicable to the dwelling or building at the location below. The provisions of the policy will prevail in all respects. This certificate of
insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy. Should. the insurance
policy be cancelled by the company before the expiration date thereof, notice will be given in accordance with the policy provisions.
Insured Information
Named Insured
ItIAN OLIVO
Mailing Address
6201 FRAN K J FLE'I'CHER ST
B.AKERSI9121,13 CA 93304-7306
Property Address
6201 FRANK.I FLE'I'CHER SI'
13.AKERSPIELD CA 933(44-7306
Policy Information
Policy Number 939845379
Company Name. N1113 -CENTURY INSURANC'L COMPANY
PoliryType NEXTGENERATION HOMEOWNERS
Policy Smms IN PORCH
MIROSLAVA HERNANDEZ
Policy Term Effective Date
08,'04,,2012
Renewal Data
08/042013
Annual Premium
$688.33
Balance Due
$0.00
First Mortgagee
CI'FWOR'IGAGE INC
INAGA
PO BOX 7706
SPRINGFIELD Out 45501-7706
Second Morlgapee/Other Interest
No Additional N ortgagectsllOther Imerestls) mailable
Agent Information
Name
MIROSLAVA HERNANDEZ
Address
6433 E BRUNDAGP, LN STE2
$158.000
BAKERSFIELD CA93307-2456
Phone
661-326-7200 Fax 661-326-7210
Email
mhcmanda,4(rtfarmersagcnLcom
Coverage Information
Coverage
Limit
Dwelling
$158.000
Extended Replacement Cost
$39.500
Personal Property
$118,500
Personal Liability
$300,000
Deductible applicable to each covered loss:
$1.500
Loss Of
L... Number 1120589829 Whop'" MORTGAGEE
Mortgagee Effective Date 06/042010
Mortgagee Deductible Clause
for any uss in\vhich only the mortgagee's interest is adjusted and settled, not including any interest you may have in the property or loss, the
applicabla deductible will be the sma Iesr of the following amounts:
Ihe deductible slated in the dcdaratwus or mnewul notice. or
2.51.000
The policy dolactible stated in tha declumfleas or omewal notice will apply to setdemem ofany Inlurest3 re may hove in the property or loss
president
438BFUNS Endorsement Included Y
M90 4-12 PrintDate: 1 010 8 2 0 12
Authorized Formers Rs assaMflive
6149 Frank Fletcher Street - Google Maps
Google Address 61496 Frank J' Fletcher Street
Page 1 of I
http://maps.google.com/maps?q=6201 +Frank+J+Fletcher+Street,+Bakersfield,+CA&sl I=3... 10/8/2012
B A I� E R S F I E .L I7
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Jena Covey, Risk Manager
-1
FROM:
Bob Wilson, Supervisor II, Subdivisions
DATE:
October 12, 2012
SUBJECT:
Encroachment Permit Application for: 6201 Frank J Fletcher St
Name of Applicant: Juan Antonio Olivo
Description of Encroachment: Existing concrete footing with wrought iron
fence at back of sidewalk. Fence will be 2'
from water valve box.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
Frank J Fletcher St.doc
B A T-�: E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: October 12, 2012
SUBJECT: Encroachment Permit Application for: 6201 Frank J Fletcher St
Name of Applicant: Juan Antonio Olivo
Description of Encroachment: Existing concrete footing with wrought iron
fence at back of sidewalk. Fence will be 2'
from water valve box
Please review the attached encroachment permit and return to me at your earliest convenience.
S:\PERMITS\ENCROACHRRAFFICKi201 Frank J Fletcher St.doc