HomeMy WebLinkAbout5700 WALTON DRENCROACHMENT 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 . . . . . 13-30000029 Date 5/03/13
Property Address 5100 WALTON DR
Application type description PW - ENCROACHMENT PERMIT
Owner
Contractor
URANDAY TONY T OWNER
5700 WALTON DR
BAKERSFIELD CA 93304
(818) 645-4366
-------------
Permi[ . . . ENCROACHM]NT PERMIT
Additional desc . .
Phone Accuse Code . 1320464
Permit Fee . . . . 208.00
Iss,e Date . . . . 5/03/13 Valuation
0
Oty Unit Charge Per
Extension
1.00 206.0000 EA PW ENCROACHMENT
206.00
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special Notes and Comments
May 3, 2013 12:11:53 PM mmendenhdl.
Existing 4.' wrought iron fence at back
of sidewalk. Contact person: Tony Uranda
661-831-3934
----------------------------------------------- ---------------------------
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.
Signature of Ap antL(gent) 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) COUST
LT A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE RANTED ENIED) Said permit shall expire on date stated above.
Signature of City Engine
Additional Terms on the Back
6 A IG 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 numberb ..amu r p �6 r,C G L'
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2. Nature or description of the encroachment for which this application is made: (Example: Wood or wroughtiron
fence, concrete block wall, raised planter, etc...) W r o � tiro,
3. Location of proposed encroachment (Example: Side yard at back of sidewalk or front yard at track of sidewalk)
4. Period of time for which the encroachment is to be maintained' ndefinite or Other.
ease Cil
5. Is property part of a Homeowner's Association Yes No )
Applicant agrees that it 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 judiclai tribunals of any kind whatsoever, arising out
of, connected withor 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.
.ng 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.
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Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
. (661)326.3724
(O WHOM tT NIAY CONCERN
We the unde-sieneo, nave no objection to the constriction of a fence beside the sidewalkwInnh ine
Public riynl-of-Way,
iStreet or propps4d encroaa vnexl/ wners xme
or J �(SU t.✓aiT r-/ rename (. L - F 3 r '-3 9 34
(Address oFproposed encroachment)
SIGNED
1 1 Name:r/'---
Address.
2.) Name: y�2.h i
Date: 13
Address o5 2A C.N
a) Name
Datee -) i
addrees:
_
4_) Name-
Date:
Address'.
—
5) Name.
Date:
Address:
6.) Name:
Date.
Address.
HOMEOWNERS POLICY
FirstAmerican RENEWAL DECLARATIONS
u �a Specialtylnsurance Company POLICY NO: FCASH 319802
Customer Service
888474-7500 / www.fapcig.com
114 East 5th Street, Santa Ana, CA 92701
A California domiciled company
BROKER NUMBER: 002602 BROKER. PHONE: (661)833-0300
BROKER NAME:
NAMED INSURED: MCA INSURANCE SERVICES
1731 HASTI-ACRES DRIVE, #205
TONY T URANDAY BAKERSFIELD, CA 93309
5700 WALTON DR
BAKERSFIELD, CA 93304 Location of property insured:
91 n1^IrhPldlllh^IInU^14mm�P141941h,Ill 5700 WALTON. DR
BAKERSFIELD, CA 93304
Annual Renewal coverage under this policy will become effective provided the premium is paid as indicated on the enclosed Renewal
Invoice. Insurance is provided only with respect to the following coverages for which a limit of liability and/or premium is specified,
subject to all conditions of this policy. We will pay only that part of the total of all loss payable under Section I that exceeds the
deductible amount shown in the Declarations, subject to the policy limits that apply. The deductible applies per occurrence. Based on
the information available to us, the premium shown is the lowest we offer for which you qualify.
Policy Period: 12 months From: 1212912012 To: 12/29/2013 12:01 a. m., STANDARD TIME at the location of property insured.
COVERAGE A -DWELLING
$190;909
$565.00
FSH010611
COVERAGE B- OTHER STRUCTURES
$19,091
INCL.
FSH0210609
COVERAGE C- PERSONAL PROPERTY
$95,455
INCL.
HO 00 03 04 91
COVERAGE D - LOSS OF USE
$38,182
INCL.
HO 01 04 02 98
COVERAGEE- PERSONAL LIABILITY
$300,000
$16.00
438 BFU NS 0542
COVERAGE F- MEDICAL PAYMENTS TO OTHERS
$5,000
$12.00
HO 04 16 04 91
DEDUCTIBLE
$1,000
$-97.00
HO 04 96 04 91
HOMEOWNERS PLUS ENDORSEMENT
INCL
HO 24 90 01 93
ORDINANCE OR LAW
$19,091
INCL.
CREDIT CARD COVERAGE
$500
INCL.
FIRE DEPT SERVICE CHARGE COVERAGE
$500
INCL.
BUSINESS PROPERTY
$2,500
INCL.
JEWELRY, WATCHES AND FURS
$1,000
INCL.
LOSS ASSESSMENT COVERAGE
$1,000
INCL.
SILVERWARE, GOLDWARE AND PEWTERWARE
$2,500
INCL.
25% EXTENDED REPLACEMENT COST COVERAGE A—DWELLING I *New or Revised Form
li -Zr"".... lVl: gnao.UU
A.$5.00 per installment service charge
Counlersignetl: 10/30/12 Santa Ana, CA By: '� y>1yl�t_ applies If you pay in installments. Payment
in full will avoid this service charge.
Dirk R. McNamee, President
Authorized Representative
NOTICE. THIS POLICY DOES NOT PROVIDE COVERAGE FOR THE PERIL OF EARTHQUAKE
B A K E R S F I E L 13
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: May 13, 2013
SUBJECT: Encroachment Permit Application for: 5700 Walton Dr
Name of Applicant: Tony Uranday
Description of Encroachment: Existing 4' high wrought iron fence in front
of the house behind the sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
1
I ii�G I,
S: \PERMITMENCROACHVRAFFIM5700 Watlon Dbtloc
TO:
FROM:
F,, A T-�: E R. S F I F L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
Jena Covey, Risk Manager
Bob Wilson, Supervisor 11, Subdivisions
DATE: May 13, 2013
SUBJECT: Encroachment Permit Application for: 5700 Walton Dr
Name of Applicant: Tony Uranday
Description of Encroachment: Existing 4' high wrought iron fence in front
of the house behind the sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:WERMITS\ENCROACH\INSURANCE\5700 Walton Dr.doc
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