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HomeMy WebLinkAbout1100 DOLORES 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 fora permit to place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 13-30000024 Date 4/19/13. Property Address 1100 DOLORES ST Application type description PW - ENCROACHMENT PERMIT owner Contractor .............. ________________________ MORALES JOSE ANTONIO OWNER 1100 DOLORES ST BAKERSFIELD CA 93305 ----------------------------------- _________________________________________ PermiC . . . ENCROACHMENT PERMIT Additional dear . . Phone Access Code . 1315530 Permit Fee . . . . 208.00 Issue Date . . . . 4/19/13 Valuation . . . . 0 Ory Unit Charge. Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments April. 19, 2013 11:19:49 AM peariquez. 4' chain link fence in front of yard behind sidewalk and 6' high fence on side of yard. Contact Miguel Morales 66-565-1461 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 anti a zo Signature of Appl{cant`F er/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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE( ' RANTED) (DENIED) Said permit shall expire on date stated above. V� � Signature of City Engineer - Additional Terms on the Back 7 7 l B A K E R 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 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. 1, Full name of applicant and complete address including phone number: 0k! i�op I )x(11 Y'J �k —7',)1 A I I'Ll (–^1 2. Nature or description of the encroachment for which th. app�ti9n is made: (Exampla: Waod or rought iron fence, concrete block wall, raised planter, etc...) / pO1—�/" ''l� v/ (1.6� v P 3, Location of proposed encroachment: (Example ide yard at back of sidewal r front yard at back of sidewalk) 4. Period of time for which the encroachment is to be maintained Indefinite or Other. P ase 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 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 revocation thereof by the Citv 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 farce 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 \EncroachmenlPennitsV pplioationforEnemachment B A IC E R S F I E L D Public Works Department 1501 Trwun Avenue Bakersfield, California 93301 (661)326-3724 TO 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. (I�-�� 1�D i.'r- S r tar proposred encroachment) (Address of proposed encroachmenr) 1.) Name'. 2.) Name: By: Y'vA 1411 J V 11.t,Y"C...tAJ (Owners MAT) 3.) Name: Address: a.) Name: Addressjf0 6;` e- -77 c33d S; V-7 5.) Name: 2. L" I Addles: �Ijt' G -d29 4r 5.) Name: Address'. Date: '/—,f--1;3 Date: Dated/_tel 70! 3 Date: 7 1]E ;20 0 Date: t%'¢`._,2Q t�� Memorandum of Fire Insurance A&FARM E R 5 Policy Number: 961784940 This Memorandum of Insurance is a summary description of the coverages for which you applied. When you applied for your insurance, Farmers® used an estimating program to calculate an Estimated Reconstruction Cost to rebuild your home. (See below.) You may have chosen to insure your home for the amount of the Estimate, or you may have selected a different amount. (See below.) It is your right and responsibility to determine the amount of your insurance coverage. Your agent cannot choose your coverage amounts for you. Please verify that all the information on this document, and your policy when you receive it, is complete and correct. Advise your Farmers agent of any changes that need to be made and thank you for doing business with Farmers. Polity Information Company Name: Neighborhood Spirit & Casualty Company Policy Number. 961784940 Effective Date: 04/19/2013 Household Number: 3076992271 Policy Type: Special Form On Dwelling Primary Insured and Property Address:. Agent Information JOSE A MORALES MARIA CECILIA AMADOR 1100 1/2 DOLORES ST 1731 HASTI ACRES DR STE 205 BAKERSFIELD, CA, 93305-5943 BAKERSFIELD, CA, 93309-4889 661-833-0300 Mailing Address: 1030 GRACELAND AVE, DES PLAINES, IL, 60016-6512 (overage Information Deductible applicable to each covered loss: $1,000 Coverage Description: Coverage Limit DWELLING FIRE - COV A - DWELLING $190,000.00 DWELLING - COV B- SEPARATE STRUCTURES $19,000.00 DWELLING - COV D - FAIR RENTAL VALUE $19,000.00 DWELLING - COVE - ADDITIONAL LIVING EXPENSE $19,000.00 EXTENDED COVERAGE -COV A - DWELLING $190,000.00 LESSORS RISK- ADDITIONAL PREMISES $300,000.00 LESSORS RISK MEDICAL $5,000.00 EXTENDED COVERAGE - COV B - SEP STRUCTURES $19,000.00 EXTENDED REPLACEMENT COST Covered 31 094 1211 USue N Page l of 4 S A h F R S F I F L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 29, 2013 SUBJECT: Encroachment Permit Application for: 1100 Dolores St Name of Applicant: Jose Antonio Morales Description of Encroachment: 4' chain link fence in front yard behind sidewalk and 6' fence on side of yard. Please review the attached encroachment permit and return to me at your earliest convenience. 0; Pr— OF S:WERMITSIENCROACKTRAFFIC11100 Dolores Stdoo • K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager 41 FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 29, 2013 SUBJECT: Encroachment Permit Application for: 1100 Dolores St Name of Applicant: Jose Antonio Morales Description of Encroachment: 4' chain link fence in front yard behind sidewalk and 6' fence on side of yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Dolores StAm 0 Public Works Department 1501 Truxlun Avenue Bakersfield, California 93301 (561) 326-3724 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. qI ation or construction for A. Residences Homeowners General Liability coverage in an amount of at least $300,000 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\[ncroachmenrPortnilsllns'urancCP,epUiremenls J U IL ----- -----� W S � �