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HomeMy WebLinkAbout1800 FREMONT STTO 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 . . . . . 13-30000011 Data 3/14/13 Property Address 1800 FREMONT ST Application type description PN - ENCROACHMENT PERMIT owner Contractor QU NTANILLA SYLVIA A OWNER 1800 FREMONT ST BAREREFIMD CA 93304 Perm1 . . ENCROACHMENT PERMIT . ENCROACHMENT PERMIT EAK Fa�Mw'a�4's Phone Access Code . 1302009 4W CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 4�f, 1501 TRUXTUN AVE `7® BAKERSFIELD CA 93301 � c9LIF0 (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 . . . . . 13-30000011 Data 3/14/13 Property Address 1800 FREMONT ST Application type description PN - ENCROACHMENT PERMIT owner Contractor QU NTANILLA SYLVIA A OWNER 1800 FREMONT ST BAREREFIMD CA 93304 Perm1 . . ENCROACHMENT PERMIT . Additional desc . Phone Access Code . 1302009 FermiC Fee . . . 1 I... Date 3/14//14/133 Valuation 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ____________________________________________________________________________ Special Notes and Comments March 14, 2013 11:42:10 AM mmendenhal. 4' wrought iron fence at back of sidewalk in front of house. Contact person: Sylvia Quintanille 661-479-8127 ___________________________________________ Fee summary Charged Paid Credited 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. Signet d r of Appl'I0cant (Owner/Agent) Print Mame 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 RANTE (DENIED) Said permit shall expire on date stated above. Signature of City Engineer c Additional Terms on the Back 2 B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfeld, California 83301 (561)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: 2. Nature or description of the encroachment for which this appl'catioq ig marje'. (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) D9.VQ>Q �C (LET l nro�0.\,k icon 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard of back of sidewalk) �1k o � VN_wSQ_ OR �itgo� �a\K SII kiyV-) 4.. Period of time for which the encroachment is to be maintained: Indefinite or Other. (Please Circle) 5. Is property part of a Homeowner's Association as x 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 public 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 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 any time. S]EncroachmentPennitsapplicattonforEncmachment B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (651)326-3724 TO WHOM IT MAY CO We the undersigned, have no objection to the WnstrUCtion of a fence beside the sidewalk within the Public right-of-way. (bo1u for proposed arcroe<hment) (Owne(rs Name) Df A'Llo (Address of proposed cncronchmenr) SIGNED: 1.) Name: 67tiz/C ioaco-moo Address: tao( 2.) Name: _ / i292k� Address: / l d a.j- fove 3.) Name. 7-I0Ix Q I�n�tipvt:r, Address: 1, yr m0231 n -t 4.) Name: Address: 5.) Name: Address: 6.) Name: Address: Date: Date: 3-13 -13 Date: Date: Date: 'J' A2� Date: 03 is 2 013' 01/21/2010 21:16 FAX 6613963655 ALLSTATE INSURANCE AHMED TOWER SELECT INSURANCE COMPANY Homeowners Policy Renewal Certificate Amended Declaration 801 Effective: 0311412013 Supersedes any previous declaration hearing the same number for this policy period. Policy No, I-IOS1260905 Policy Period: From 08/08L2013 To 08108/2014 Renewal Of: HOS 126090512:01 A.M. Standard Iime IM 001 Name Insured: Silvia Quintanilla Agent: Northeast Agency Ins. Srvs.. Address: 1900 Fremont Street Address: GAMAL AZIZ AHMED 218 SOUTH H 103 Bakersfield, CA 93304 Bakersfield, CA 93304 Agent Code: 69810OR In consideration of payment oflhc Renewal I'mmium indicated• the policy is hereby renewed by the Company for the period stated, subject to all agreements, stipulations, provisions, conditions and limitations thercofand endorsements thereto, excepts as stated below. It shall further be subjret to toy additional endosonacnts applying during the rmrowal period. Thin renc,,, fl niif ic.te shall have the acme stalus as though a now policy had been written with similar provisions, stipulations and agreements. It' during the period thal insurance is in force under said policy or as renewed by this certificate, the policy, any autho•izCd endorsements or filed roles and regulations alTecting the sanro are revised by statute or otherwise, so as to extend or broaden this insurance without additional premium charge, such extended or broadened insurance SIMII insure to the benefit of (lie assured hcrounder, Ah is is a Vahmhie doeumont. The rcaidenec IfrC W sox covered by this policy is located at the above insured address unless otherwise 'Uncd below Location; Construction Type Frame Year Built Tcn-itor) Prot, Glaxo No. Families Occupancy 1956 044 3 1 Family Owner In case of a loss under Section 1, we cover only that part of the loss over the deductible: $1, 000 applios to sll perils except where othe,wiso provided Coverage is provided when; limit of liability is shown. Section 1 Covet.lge Limit of Liability Premium A. Building $220,268 fi. Other Structure $22,027 C. Personal Property $154,188 U. Luas of 1fst: .$44,054 Section ii Coverage E. Personal Liability 5300,000 V. Medical Payments to Others $1,000 Forma and Endorscmenis See Schedule F Attached Basic Policy Premium: $523 Additional Premiums: $58 Total Location Premium: $581 Total Policy Premium: $581 No Change in Premium. IMP; Ill Will) AT 911191171 14 179RARP IOar'6r naulinM Timo1 a SIIn CFQISFflS z I11VIS 9x111 CSIO•SS11afi1F5S r OIIPATIng hnm.eel•afldA B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor ll, Subdivisions DATE: March 14, 2013 SUBJECT: Encroachment Permit Application for: 1800 Fremont St Name of Applicant: Sylvia A Quintandia Description of Encroachment: 4' Wrought iron and concrete block fence behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S: TERMITSIENCROACH\TRAFFIC\1800 Fremont St doc TO: FROM: • L A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM Jena Covey, Risk Manager Bob Wilson, Supervisor ll, Subdivisions DATE: March 14, 2013 SUBJECT: Encroachment Permit Application for: 1800 Fremont St Name of Applicant: Sylvia A Quintanilla Description of Encroachment: 4' Wrought iron and concrete block fence behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. BLOC 01/21/2010 21:17 FAX 6613963655 ALLSTATE INSURANCE AHMED IS1002 'this grhedul,�. effevtive 1201 AM 11..111412(113 forme n purl (if' Policy No. ITOS1260905 Issued to: Silvia Quintimilla SCH-F Amended Schedule "N" - Forms, Endmreements and Schedules Form No. and Description 438BFU NS 05 42- Lendcrs Loss Payable CACIOA 1001 01 03 - California Insurance Guarantee CAIIOIV 10 0,106 08 - Important I9lfortru tion - Consumer Affairs CAIIOW 2014 07 11 - California Residential Property Insurance Disclosure 110 00 03 10 00 - 11orrcowners 3 Special Form 110 Ol 04 09 06 - Special Provisions— California 110 04 96 10 00 - No Seer, 11 Day Caro and Limited Sect, LCoverage 110 24 90 08 01 - Workcr:s Compensation Residence. Employees - CA Number of Inservantsi 0 Number of Oulservanls 0 1109 04 0.3 10 07 - Identity Recovery Coverage 1109 07 It 07 11 - California Residential Property Insurance Bill of Rights 1101V 1008 02 04 - Hazardous Substance Liability Exclusion. IIOIV 1009 02 04 -Animal Liability - Reduction of Limits 1101V 200106 08 - California Homeowners Composite Endorsement 1101V 2000 06 08 - Protection Plus Endorsement F101V ')OOR A7. 04 - Fxtemdnd Rgd.nnmeml I`ovl Rndnrs(mcnl HO1V 2010 02 04 - liomcowncrs Replacement Cost - Personal Property NON 2011 02 04 - Protection Devices or Security Measures Fire Alarm: Smoke Deleclors only Burglar Alarm: Central Station Burglar Alarm Sprinkler= None HOW 23[5 0204 - Fungus,. Rust- Wet or Dry Rot, or Bacteria Limited Cov. I ITO1 1 06 08 - Reacwarl Catiflcote IIA 07 40 06 OR - Privacy Notice HO 04 46 10 00 - Inflation Guard: 4% YOUR POLICY DOES NOT, PROVIDE. COVERAGE AGAINST TI IE �1=RII _Q1 BARTIIQIIAKf. Mnrtgageea Iat Mortgage Batik of America, N.A. Its S1lcC2SSor,9 And/Or tS Assigns A. I'AA/l.A P.O. BOX 961291 Fort Worth. TX 76161-02q I Loan U 2316.5.354.3 CACC 919 tnClla AT 111d19fl17 M77.9R AP9 ftlari5r amAink Timol t SIIPCCGICF11kk f1M149a17 t CSIaR6170s7FFS 3 NIf1dTInM Imm.eebflflda D Public Works Department 1501 Truxlun Avenue Bakersfield, California 93301 (651)3263724 ENCROACHMENT PERMIT REQUIREMENTS 1 Application 2, Permit Fee of $208.00 3. Drawing; Minimum 8 1/2 x 11 showing encroachment on lot in relation to the existing curb, gutter and sidewalk, along with distances from curb, gutter and sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and any additional information that may assist the City in making a determination as to your request. 4. Type and Amount of Insurance Coverage for fence installation or construction for A. Residences Homeowners General Liability coverage in an amount of at least $300,000.00 B. Commercial Commercial General Liability coverage in an amount of at least $1,000,000.00 2 Additional Insured Verbiage (For Commercial) The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as additional insured's with respect to (i.e. the installation of a chain link fence at 1501 Truxtun Ave.). S �Lnaoazemma Permi!spnsvranceHe9viremen!s I� aufpaquaD lamas a9 a z ,aW9 'A Wad � yloweP!S Pasmdo,d ,o. 6upslx3 .. .. - —71 £E a$u °cam 0 H Iz1 W L JAW I O I U I v � I O I v a W o o I� aufpaquaD lamas a9 a z ,aW9 'A Wad � yloweP!S Pasmdo,d ,o. 6upslx3 .. .. - —71 £E a$u °cam 0 H Iz1 W L JAW I O Google Maps Page 14 of 17 h[Lps://maps.google.com/?11=33.741896 118.279727&spn=0.008083,0.015643&hnear=250... 3/62013