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HomeMy WebLinkAbout5501 ANNETTE STBAK ENCROACHMENT PERMIT oEa,,.0a�ks CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE CBAKERSFIELD 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 12-30000038 Date 10/09/12 Property Address 5501 ANNETTE ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------------ ________________________ PEREZ LOIS OWNER 5501 ANNETTE ST BAKERSFIELD CA 93313 (661) 808-3373 _ _________1_________________________________________ Permit . . . ENCROACFIIMENT PERMIT Additional desc . . Phone Access Code 1252436 Permit Fee 208.00 Issue Data 10/09/12 Valuation 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHIMENT 208.00 ---------------------------------------------------------------------------- Special Notes and Comments October 9, 2012 11:24:08 AM mmendenhal. 6- high fence on side of house - 5' back from curb - up to middle of house. contact: Luiz Perez 661-559-3148 Fee summary Charged PaidCredited __________ __________ _ ________ Due _________________ Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .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. - � Signatureooh lic 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 (GRANTED) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back � 2 30�38 Public Works Department 1591 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 permit to place, erect, use and maintain an encroachment on public property or right-of-way as therein defined. (oC I Full name of applicant and complete address including phone number: 4,110 el, -e z Sr ? 3/ 4{ ssa/ l�nre� ��(kersri� / cA 43313 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 ... 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. Indefinite or Other. (Please Circle) 1 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 or upon the revocation thereof by the City engineer, applicant will at his own cost and expense remove the same from the quoitc 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 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 S1E ncroachmentPennitsMpplicationforEncmachment 13 A I: E R S F. I B L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM [T MAY CONCERN: As the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right -Of -way, - 79 eh et foi pi oposad anmbndvnent) of pr000se l eneroirhmenQ SIG I ) Name: Address: By: (Owners Name) 2.) Name: 5/-'Itilj��l Address zTD 3.j Name'. :, 1;-- �"7" y��✓IV� Address: 4.) Name.–v�C✓�/ Q Address! "I) 6.) Name. Address: �.6.) Name, Address. Date. Date: e 1 �ezZ Date `a–�-Z1IR— i Date: eT7:/ — L; Date: Memorandum of Fire Insurance - FARM E RS and Subscription Agreement Policy Number: 95213246'_ This is a Menmrand mu of Insurance and a Subscription Agreement. Your signature at the end of this document is required. If our records do not show that you have provided us with a signed copy of this document, we reserve the right to terminate your coverage. Please keep a copy for your records. This Memorandum oflnsnance is asummary description of due coverages For which you applied. When you applied for your insurance, Fanners' used an estimating program to calculate an Estimated Recmtmrucuou Cost to rebuild your home. (See below.) You may have chosen to insure Your home for the amount of the Estimate, or you may have selected a different amount. (See below.) It is your right and responsibility to determine the amount of your insurance coverage. Your agent cannot choose your coverage amounts for you. Please verify that all the information on this document. and your policy when you receive it, e, complete and correct. Advise your Farmers agent crony changes chat need to be made and thank you for doing business with Farmers. Policy Information Company Name: Fire Insaronce Exchange Policy Number: 952132462 Effective Date: 08,06/2012 Household Number 0545286211 Policy Type: Special Front Dwelling Primary Insured and Property, Address: Agent Information: LUIS PEREZ GUS IAVO ADOLFO HIDALGO 5501 ANNETTE S'1 4705 NEW HORIZON BLVD SI E I BAKERSFIELD, CA, 93 31 3-2 90 8 BAKERSFIELD, CA, 93313-2369 661-847-9770 Mailing Address: 5501 ANNETTE ST, BAKERSFIELD, CA.93313-2908 Coverage Information Deductible applicable to each covered loss: $1,000 Coverage Description: Coverage Limit DWELLING FIRE- COV A - DWELLING S 176,000.00 DWELLING -COVB- SEPARATE STRUCTURES $17,600.00 DWELLING FIRE - COV C- PERSONAL PROPERTY $25,000.00 DWELLING - COV D- FAIR RENTAL VALUE 517,600.00 EXTENDED CVG -COV D- FA I R RENT AL VALU E $17,600.00 DWELLING - COVE - ADDITIONAL LIVING EXPENSE $17.600.00 LIABILITY - DWELLING POLICY $300.000.00 MEDICAL PAYMENTS - DWELLING POLICY $1,000.00 EXTENDED COVERAGE - COV A - DWELLING $176,000.00 EXTENDED COVERAGE - COVB- SEP STRUCTURES 517,600.00 EXTENDED COVERAGE -COVC- PERSONAL PROPERTY $25,000.00 S149 u.n o&Swr —ptlH Pop 1 of o � n ri Rset � e$ ice; m Qm- Trri N O go3 g -°+ L _ Existing w Proposed Sidewalk 3 eo' r Street Centerlfna L r O O z � R1 z 2 a B r _ 2$ I r ~ Q Q nl o n I z r r T31' '�GA 6Lo(Y- WAL-L- w/ -0- A 1 2q, o.0 A'S 2 " oc.ao'Jz. I hey {,z.s-E s /cle, w h+e,F� he su: { A -c 2"(o oc aon L. wau OF BIaL1� �JE9-T Al Z�'oc Wit �} sou,j 6fLouT �" SM06TA (Ow MA TE 5 LD LiL _ M 14�q AT �v( yia coufu€—to* o'�oLocr i2E6aSL za" 2`I" oc IY A(}LT LEVE <,O n j E`T E F'o o Ti �nb 0 x i2.. 4409 Rouse Avenue - Google Maps Google Address 4409 Rouse Avenue aaare:: �s •evro,�mam Page 1 of 1 http://maps. google.com/maps?f=q&source=s_q&hl=en&geocode=&q=5501+Annette+Str... 12/17/2012 TO: FROM: DATE: SUBJECT: H A h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer II Bob Wilson, Supervisor II, Subdivisions October 12, 2012 Encroachment Permit Application for: 5501 Annette St Name of Applicant: Luis Perez Description of Encroachment: 6' High fence on side of house 5' behind the curb up to the middle of the house. Please review the attached encroachment permit and return to me at your earliest convenience. S: WERMITSIENCROACKTRAFFICt.5501 Annette Stdoc • B _-1 I-: E R S F I E L 1) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager o FROM: Bob Wilson, Supervisor II, Subdivisions DATE: October 12, 2012 SUBJECT: Encroachment Permit Application for: 5501 Annette St Name of Applicant: Luis Perez Description of Encroachment: 6' High fence on side of house 5' behind the curb up to the middle of the house. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:IPERMITMENCROACHINSURANCEl5501 Annette St doc