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HomeMy WebLinkAbout609 GINGER SNAP LNBagKE ENCROACHMENT PERMIT CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT � 1501 TRUXTUN AVE ` C +�m7,,.a° BAKERSFIELD CA 93301 L/ 0 (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 . . . . . 13-30000013 Date 3/18/1.3 Property Address 609 GINGER SNAP LN Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------------ MISS ARMANDO O OWNER 1100 DELWOOD AV EAEERSFIELD CA 93307 ----------------------------------------- Permit. . . ENCROACHMENT PERMIT Additional ds.e . . Phone Access Code 1303031 Permit Fee 208.00 Issue Date . . . . 3/18/13 Valuation 0 Qty unit Charge Per Extension 1.00 206.0000 EA PW ENCROACHMENT ______________________I 208.00 ------- Special Notes and Comments March 16, 2013 10:50:57 AM mmandenhal. Existing brick and wrought iron fence at back of sidewalk. Contact person: Armando Rios 661-809-4959 ------------ -------------------------------- ' Pee s ary Charged Paid Credited -------------------- Due ----------------- -------------------- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 200.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit t any time. 'n d Ay 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) CQNSTITt TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTED (DENIED) Said permit shall expire on date stated above. v'-- —� Signature of Offy Engineer Additional Terms on the Back 13 3,9ell B A K E 12 S F I E L D 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 theprovisions of Chapter 12.2Q 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: R 12—MAr`1 D0 ©kO'LCp QC)5 CoOq Cnt rt6€I° 5"" t^t4 8Pr1A'ERf- eA °t'6_2)5,� - &rd- 8Ue/ Yrfs� 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...) )roil F•Cf`iCC Cnvycr2� block 3. Location of proposed encroachment: (Example: Side yard of back of sidewalk or front yard at back of sidewalk) f-p-Dt'i f I f,ko 4. Period of time for which the encroachment is to be maintained:definite or Othe1�7r. ease 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 judidal 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 me congaton as nearly as that in which it was beforetheplacing, 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. " 5'\E ncraaohmentPermitswpplicdtionforEnuoschment Z�4 0 6 A K E R S F I E 1, D public Works Department 1501 Tiuxtun Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM IT MA`! CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the Public right-of-way. L-A Swor proposed encroachment) (Owners Name) rt (I"nCIP-rok pc)� qq5°li (Address of proposed encroachment) SIGNED 1.).Name: srS Y Date: Address. �'"�'"> 2.)Name: J G�q✓1py ��✓e'7 Dater Address (' N 4•b ✓ c 14 f� C .4 3.) Name: /612 0 Gryl c9 -`' SN 4 P CA Dater—. 13._ 13 Address: L F]✓P ✓120 y6 r`r6L1PZ 4.) Name: Date: 3 •i3 • 1$. Address: Zai SkNRC z bR 9'330'7• 5.) Name:14v I(t)— -s��'/)d z _ Date: .3 -/� Address: 4Lr1(JiyF7L ,t-� n �' 6.) Name: �/A f\// ��� Date: '3-1S—) Address 0 0 5 ,ti�4C- I ) ADDITIONAL DWELLING ENDORSEMENTS Company: AMCO INSURANCE COMPANY I Policy NO: ADP 0022675524 4 LIMIT DES MOINES, IA 50391-1100 (800) 282-1446 Agency: MKNI INSURANCE SERVICES INC 07551 VISALIA CA Insured: RIOS,ARMANDO OROZCO,ANA Location ID INCLUDED Described Location: 609 GINGER SNAP LN 001 BAKERSFIELD, CA 93307-5899 COVERAGES DESCRIPTION LIMIT PREMIUM LOCATION ENDORSEMENTS. 11796 08111 California Res Prop Ins Disclosure INCLUDED 13447 03193 Lead Poisoning Exclusion-Liab Cov INCLUDED 13449 05195 Inflation Protection INCLUDED 4383FUNS 05142 Lenders Lass Payable INCLUDED 12680 01198 Personal Liability Schedule 300,000 37.00 13410 12186 Dwelling Liability Coverage - OL&T INCLUDED 15363 12101 Fungi Property 5,000 INCLUDED 15367 12101 Fungi Exclusion - OL&T INCLUDED TOTAL LOCATION ENDORSEMENTS 37.00 15070 (01-98) DIRECT BILL LTCJ 1275 INSURED COPY 917025841 70 8,247 DWELLING POLICY AMCO INSURANCE COMPANY 1100 LOCUST ST DES MOINES, IA 50391-1100 (800)282-1446 AGENCY MKNI INSURANCE SERVICES INC 07551 VISALIA CA nFCi POLICY NUMBER: ADP 0022675524 4 ACCOUNT NUMBER: 917025841 Policy Period From: 1012712012 To: 1012712013. 12:01 A.M. Standard Tme INSURED NAME AND ADDRESS MORTGAGEE. OR OTHER INTEREST 'DEDUCTIBLE: In case of lass under this policy, we cover only that part of the loss over the deductible of $1,000. 0047131321 MORTGAGEE RIOS,ARMANDO m cW OROZCO,ANA ®s' 1100 DELWOOD. AVE PO BOX 7512 BAKERSFIELD, CA 93307-5655 SPRINGFIELD, OH 45501-7512 The Il mu or IlathI Sy for the structure lCurnerager F IS III on he ¢Sumo@ of cost m redol Id 5cur home, momamg nn opvronmah cost or Iii xna reser.: in your area, ana.'si I.. n..nmm1.1a.e11o.idedunre,esrisens THIS POLICY DOES NOT INCLUDE BUILDING UPGRADE COVERAGE; .nhooruhive BILLING INFORMATION TO BE PAID BY NAMED INSURED IPREVIOUS POLICY NUMBER ADP 0022675524 3 'DEDUCTIBLE: In case of lass under this policy, we cover only that part of the loss over the deductible of $1,000. The described residence premises covered hereunder is located at the Location above address, unless otherwise stated herein.. 609 GINGER SNAP LN 001 BAKERSFIELD, CA 93307-5899 I This insurance applies to the Described Location, Coverage for which a Amit of Liability is shown and Perils Insured Against for which a. Premium is stated COVERAGE AND LIMITS OF LIABILITY B. OTHER STRUCTURES C.PERSONAL D. FAIR RENTAL E. ADDITIONAL AMT INCVD PROPERTY VALUE LIVING EXPENSE AT NO CHG I A. DWELLING $ tdO1?E PERILSINSUREDAGAINST AND PREMIUMS Fire Extended Vandalism or DP3 I Coverage Malicious i Mischief IS 250.001$ 64.001$ INCL IS 66.001$ Is Is ENDORSEMENT DESCRIPTION LIMIT PREMIUM POLICY ENDORSEMENTS (DP3 09183 Special Form DP300CA 09109 Special Provisions - California INCLUDED 1, IN2499 10/08 Important Notice INCLUDED IN0000 04109 Privacy Stmt INCLUDED 1IN0100 01110 Important Notice INCLUDED IN2004 03104 Important Notice INCLUDED IIN3001 03191 Important Notice INCLUDED 110783 12188 Amendment of Conditions INCLUDED 10940 07189 California Guarantee Association INCLUDED 1 ® Oij� TOTAL POLICY ENDORSEMENTS Not a bill. Your bill is sent separately. TOTAL PREMIUM THIS LOCATION $ 417.00 Effective Date of Change: 1027 (continued) $ POLICY ENDORSE INFO TOTAL PREMIUM ALL LOCATIONS $ 417.00 MORTGAGEE INFO. Additional Premium $ $ Return Premium This Declarations page replaces all previous Declarations pages for this policy. AMCO INSURANCE COMPANY Countersigned by - Authorized Representative DIRECT BILL LTCJ 12275 INSURED COPY 78 917025841 9246 B Imo. E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 10, 2013 SUBJECT: Encroachment Permit Application for: 609 Ginger Snap Ln Name of Applicant., Armando Rios Description of Encroachment: Existing brick and wrought iron fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 4-�li. �2ot 3 C,V�T/'E: HlC,NEl7 �t/ul bt' �y?,UCE !S ,SFT. PfzM -[W aP cbIAB — 6'*T !T S: WERMITSXENCROACMTRAFFICM9 Ginger Snap Ln.dm B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager 4- v" FROM: Bob Wilson, Supervisor ll, Subdivisions DATE: April 10, 2013 SUBJECT: Encroachment Permit Application for: 609 Ginger Snap Ln Name of Applicant: Armando Rios Description of Encroachment: Existing brick and wrought iron fence at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. &FERMITMENCROAMINSURANCEW09 Ginger Snap Ln.doc Public Works Department 1501 Truxlun Avenue Bakersfield, California 93301 (661)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 8. Commercial Commercial General Liability coverage in an amount of at least $1,000,000,00 2 Additional Insured Verbiage (For Commercial) A. The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as additional insured's with respect to (i.e. theinstallation of a chain link fence at 1501 Truxtun Ave.). 5 LL ncroacmm�nlPertniullnsvranceP.cociremems 1.1 OWNWO ;"4s 09 a �°NP0 3 wn0 _ NP�aPIS PesotloV n 6upelx3 ot.c� cr U p I O s E£ -98 I U I 8 I I C I w 1.1 OWNWO ;"4s 09 a �°NP0 3 wn0 _ NP�aPIS PesotloV n 6upelx3 ot.c� cr U p I O s E£ -98 _ fpy Feed ^- (j HH a o� ' a� S ST +2E -_E 1 moa �wr�2 snap' I act 'Fagce slcr-K • d �L