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.
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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)
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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
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Address`
3.) Name'.
I
Address:
4.) Name:
Address:
5) Name:
Address.
6.) Name.
Address.
Date: —)14; -
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Date: ,'--3 20— 1 g
Date:
Date:
Date:
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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.
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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.
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