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HomeMy WebLinkAbout2813 S. I STBSM ENCROACHMENT PERMIT � R in CITY OF BAKERSFIELD v d PUBLIC WORKS DEPARTMENT 1601 TRUXTUN AVE C ywBAKERSFIELD CA 93301 IFO (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 . . . . . 13-30000016 Date 3/27/13 Property Address 2813 S I ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor RIVERA JOSE L E HIDALGO MARIA OWNER 2813 S EYE ST HARERSFIELD CA 93304 Permit . . . ENCROACHMENT PERMIT Additional dean . . Phone Access Code . 1306836 Permit Fee . . . . 208.00 Issue Date . . . . .3/27/13 Valuation 0 Sty Unit Charge Per Extension 1.00 208.0000 EA Pw ENCAOAC}P1ENT 208.00 ---------------------------------------------------------------------------- Special Notes and Comments March 27, 2013 10:56:21 AM mme.denhal. 4' high brick and wrought iron fence at back of sidewalk and aides of hoses. Contact person: Maria Hidalgo - 661-333-2747 --- .. --------------------------------- .... 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. i 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) CONST4TMTE 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 Additional Terms on the Back Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661)326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 7o the City Engineer of the City of Bakersfield, California: 'Pursuant to the provisions of Chapter 12.217 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 Ain rr a qC7 1 -) I— _ r c.l_ 0„1(a.°J iJ i'J'? v 1660 :3.35 1? 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...) unrrele Lock (InclJ�,rcct�� 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) �of��VarC� �,Lback ole°ben-aIK - 4. Period of time for which the encroachment is to bemaintaine < Indefinite or Other. Tease Circle) 5. Is property part of a Homeowner's Association Yes No ,7Applicant 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, orjudiclal 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 amount(s) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to. revoke thepermit at anytime. 5\EncroachmentPertnitsV\ppliwtionforEneroachmani B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 83301 (661) 326-3724 FO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the Public right -of -Way. J 2 13 5'= i 5 E4ketS41e1d,'493;�ey: 0 ( trier or propose encroachment) wnjjers ame pp / Of (Address or proposed encrondtmene) GNED: 1.) Name: 2.) Name: Address 3.) Name: Address 4.) Name: Address 5.) Name: Address 6.) Name: Ey-l:22 /Z /JF '&_'� Address: Date: 3/2 &17113 Date: 3/2013 Date CA" t Date: 4 Date: �2ko I Date: 3I.>2�011-3 Evidence of Insurance for Mortgagee/Other Interests F A R M E R 5 This form is not the contract of insurance. It is a memorandum of coverage limited to mortgagee/other interests, provided at their request and applicable to the dwelling or building at the location below. The provisions of the policy will prevail in all respects. This certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy. Should the insurance policy be cancelled by the company before the expiration date thereof, notice will be given inaccordance with the policy provisions. Insured Information Named Insured JOSE L RIVERA Mailing Address 2813 S 1 ST BAKERSFIELD CA 93304-5102 Property Address 2913SIS'F BAKERSFIELD CA 93304-5102. Policy Information Policy Number 960811824 Company Name MID-CENTURY INSURANCE COMPANY Policy Type NEXT GENERATION HOMEOWNERS Polley Status 7N FORCE' Coverage Policy Term Effective Date 09/19/2012 Renewal Date 09/26/2013 Annual Premium $52264 Balance Due $0.00 First Mortgagee BANK OF AMERICA NA ISAOAA'FIMA FO BOX 961291 FORT WORTH TX 76161-0291 Second Mortgagee/OtberInterest No Additional Moagagee(s)/Other Interests) available Agent Information Name MIROSLAVA HERNANDEZ Address 6433 E BRUNDAGE LN STE 2 BAKERSFIELD CA 93307-2456 Phone 661-326-7200 Fax 661-326-7210 Email mhemandez4alfarmersagent.com Coverage Information Coverage Limit Dwelling $170,000 Extended Replacement Cost $42,500 Personal Property $127,500 Personal Liability $300,000 Deductible applicable to each covered loss: $1,000 Loan Number 244455540 Who Pays INSURED Mortgagee Effective Date 12/14/2012 Mortgagee Deductible Clause For any loss in which only the mortgagee's interest is adjusted and settled, not including any interest you may have in the property or loss, the applicable deductible will be the smallest ofthe following amounts: I. The deductible stated in the declarations or renewal notice, or 2.$1,000 1 he policy deductible stated in the declarations or renewal notice will apply to settlement of any interest you may have in the property or lass 438BFUNS Endorsement Included Y 252960 412 Print Date: 03/26/2013 President `/�7�\ VY � a Aufherued fermen R.,—atufiva • B A- R 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: 2813 South I Street Name of Applicant: Jose Rivera & Maria Hidalgo Description of Encroachment: Place 4' brick and wrought iron fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 46 11,94 1 4•t' AS J'alz- as 7M FFfc 15 co�Cp FNCr 506 w c C—�IG�bRGl%E5 ON 71c, lbs" (Sl /M✓ O�V 1 S:\PERMITS\ENCROACH\TRAFFIC@813 South I Street.d« • B A K F R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager '�- G(I FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 10, 2013 SUBJECT: Encroachment Permit Application for: 2813 S I Street Name of Applicant Jose Rivera & Maria Hidalgo Description of Encroachment Place 4' 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. S:\PERMITS\ENCROACH\INSURANCE\2813 S I Stdoc Public Works Department 1501 Truxlun Avenue Bakersfield, California 93301 (661) 326-3724 ENCROACHMENT PERMIT REQUIREMENTS 1.. Application 2. Permit Fee of $205.00 3. Drawing; Minimum a 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. ` a. 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) A. 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,). 5 LL ncroaOrmenlPertni!sllnsma,ePagUireMems rn.z gcY3 aarNatwT t=ads ,09 �JMD a�\a� I O I _ J � � z Eq O Q p a 8 0 E �m 12 W Y ly O Q