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HomeMy WebLinkAbout514 6TH STENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (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 . . . . . 13-30000015 Date 3/26/13 Property Addreea 514 6TH ST Application type description PW - ENCROACHMIENT PERMIT Owner Contractor ------------------------ PRUDENCIO MARIO OWNER 9805 ANDALUSIA IN �. BAKERSFIELD CA 93306 _--------_ --------------------------------------------------- permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code 1306497 C. Permit Fee . . 208.00 Issue Date . . . 3/26/13 Valuatioa . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT ._------------- 208.00 ------------------------- .----------------------------------- Special Notes and Comments Construct 4 ft high wrought iron fence with block pilasters along sidewalk. Mario 865-9933 -------------------- '_ -----------_-----------_-------------__- Fee summary Charged Paid Credited --------- ---...-.--- Ale ----------------- -------------------- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 206.00 .00 .00 Applicant acknowledges the right of the Pty Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. i �yu�2v1GfC7 Signature of Applic t ( wney ) 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) CON UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTE (DENIED) Said permit shall expire on date stated above. Signature 98,ty Engineer Additional Terms on the Back B A K E 12 S F I E L D Public Works Department 1501 Truxlun 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 12.24 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: rill" A - fr-r nc-ao 514 (ci'' STWA . g w,sR CA JIW4 u f, al,s,titia3 S� ;orf I l l c� 2. Nature or description of the encroachment for which this application is rips (Example: Woo or wrought iron fence, concrete block wall, raised planter, etc...) W10ILAwi- If - 1 . 1 1 J 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or fmnntyard at back of sidewalk) �R.o>�� nk b K of s- (.�.,: .,eK C F s'G-w�.ft l..,e,at �ltcecC.•�l 4. Period of time for which theencroachment is to be maintained: Indefinite or Other. (Please Circle) 5. Is property part of a Homeowner's Association Yes `r 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 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 night of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Sa ncroachmentPermitsWpplicationtorEncroachment B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Sakersfeld, California 83301 (661)326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence besidethe sidewalk within the Public righl-of-Way. J'r%lkt By: Ir�4nb p.IHWo (Sneer Dr proposed encroachirenV wners eme) r,r city' (o " Sfi.wfi an"aiCF' %f't u��e: i.l,l• &us• gry33 (Address of proposed enbrondrment) 1 ) Name: Address: 2.) Name:-^/�jr�-�%%-�7cc-��'��•-ri % Address` 3.) Name'. I Address: 4.) Name: Address: 5) Name: Address. 6.) Name. Address. Date: —)14; - n�ro Date: ,'--3 20— 1 g Date: Date: Date: 3.21,13 C llo� S�nl w 506 W;I"p t s��n n3Tn C ++ Ptil4z I.kekr 4, ow�' . c,. -r- o ✓3°6 uflro,,.. J s. .,o. FirstAmerican SpecialtylnsvranceCompany Customer Service 888-474-7500 / www.fapcig.com 114 East 5th Street, Santa Ana, CA 92701 A California domiciled company NAMED INSURED: STACY PRUDENCIO 9805 ANDALUSIA LANE BAKERSFIELD, CA 93306 ,{„ary0a{n®ya.glnp,IgMlhIm9144n14dx-0 DWELLING PROPERTY AMENDED DECLARATIONS POLICY NO: CASD 162932 BROKER NUMBER: 002767 BROKER PHONE: (661).323-0565 BROKER NAME: SONIAS INSURANCE SERVICES 900 MOHAWK STREET, SUITE 213 BAKERSFIELD, CA 93309 Location of property insured: 514 6TH ST BAKERSFIELD, CA 93304 REMARKS: AMEND INSURED'S NAME PER BROKER REQUEST. Due to the change noted in Remarks, coverage shown on this Declaration page is effective 02/25'20' 3 Insurance is provided only with respectto thefolmwing coverabes;c:accr a_.r:c'.a__y_._.. __ _.=__x'e= conditions of this policy. The deductible applies per occumencw. Based on the information avaiiabs to us, the p:e:T,—Tz s-.�47 a lowest we offer for which you qualify. Policy Period: 12 months Fmm: 0211112013 To: 02/1112014 lMl a.m., STANDARD TIME stthe location of property insured. Coverage/ Coverage Description Limit Amount COVERAGE BLOTHER STRUCTURES INCL $12,800 COVERAGE 15 -FAIR RENTAL VALUE INCL. $12,800 COVERAGE L -PERSONAL LIABILITY $51.00 $300,00D COVERAGE M -MEDICAL PAYMENTS INCL $5,000 ANIMAL LIABILITY SUB -LIMIT INCL $50,000 DEDUCTIBLE $47.00 FSF 10 0105 ORDINANCE OR LAW _ $28.00 $12JM FIRE DEPT SERVICE CHARGE COVERAGE INCL $600 WORKERS COMPENSATION -OCCASIONAL $5.00 DL 2416 12 02 25% EXTENDED REPLACEMENT COST COVERAGE A- DWELLING Countersigned: 02/26/13 Saha Arra, CA By. Policy I Coverage I Endorsements made Deductible Premium part of this policy at time of issue: I Dirk R. McNamee. President Autlnmed RepmSentab. NOTICE: THIS POLICYDOES NOT PROVIDE COVERAGE FOR THE PERIL OF EARTHQUAKE Dei 1 m2 WEB 10'. 4051014437 BKR FILE COPY INCL DP 0104 09 06 INCL. FSF 06 12 09 $51.00 FSF 09 0105 INCL FSF 460105 INCL DL 24 82 12 02 $1,000 $47.00 FSF 10 0105 $28.00 DL 24 01 12 DZ INCL DL 24 11 12 02 $5.00 DL 2416 12 02 DL 2433 05 04 .New or Revised Form NOTICE: THIS POLICYDOES NOT PROVIDE COVERAGE FOR THE PERIL OF EARTHQUAKE Dei 1 m2 WEB 10'. 4051014437 BKR FILE COPY • BAK E R_ S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: April 10, 2013 SUBJECT: Encroachment Permit Application for: 514 6" Street Name of Applicant: Mario & Stacy Prudencio Description of Encroachment. Construct 4' wrought iron fence with block pilasters along sidewalk Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. sm scdoc B A K F 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: 514 60 Street Name of Applicant: Mario & Stacy Prudencio Description of Encroachment: Construct 4' wrought iron fence with block pilasters along sidewalk Please review the attached encroachment permit and return to me at your earliest convenience. Ole mom 51xv0powr or- T9#rF/"-' aPt-P�7701-15 N-Pfou6h' f f*-rl&v cF nil FENCE 6FNCpHcAF5 TRl ffN66,8. MD & PERMITS\ENCROACN\TRAFFIC1514 6th BLOC Lok- II*D by 4e 1, ITn euipa;wo 7 75 ,09 oq4 F— I x m C) gg� euipa;wo 7 75 ,09 oq4