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
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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
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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...)
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3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
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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.
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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.
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( 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
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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
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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.
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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,).
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