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
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Fa�Mw'a�4's
Phone Access Code . 1302009
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CITY OF BAKERSFIELD
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PUBLIC WORKS DEPARTMENT
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1501 TRUXTUN AVE
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BAKERSFIELD CA 93301
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(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
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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.).
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Google Maps
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