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HomeMy WebLinkAbout7018 OLEN ARNOLD AVEenx ENCROACHMENT PERMIT CITY OF BAKERSFIELD ty PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO (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 . . . . . 13-30000043 Date 6/20/13 Property Address 7010 OLEN ARNOLD AVE Application type description PW - ENCROACFDIENT PERMIT Owner Contractor ------------------------ ------ LCPE2 JOHNNY & MUCENA 0. 7018 OLEN ARNOLD AV RARERSPIELD CA 93307 --------------------------------------------------------- Perm't . . . ENCROACHKENT PERMIT Additional de.c . . Phone Access Code 1339514 Permit Fee 208.00 Issue Date . . 6/20/13 Valuation 0 Qty Unit Charge Per 1.00 208.0000 EA PW ENCROACHMENT -----------------------------------"----------------- Special Nates and Comment. Tune 20, 2013 11:17:44 AM mmendeMal. Existing 4' wrought iron fence at back of sidewalk. Contact person: Johnny Lopez 661-397-5211 Fee summary Permit Fee Total Grand Tolal L Applicant revoke ttij Extension 206.00 ------------ ------------------------------------ Charged Paid --'-----------.-- Credited Due ---------- ---------- - --- ------ 200.00 ---------- 208.00 .00 .00 208.00 208.0.4 .00 .Do 12.20 to 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) g0N4TlZLQE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFOR GRANTED} DENIED) Said permit shall expire on date stated above. Signature of Ci yi E Additional Terms on the Back 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. 2. Nature or description of the encroachment for which this appGcapp'ontis mart: (Elrpmple: Wood or wrought iron fence, concrete block wall, raised planter, etc...) IN)fn s 8"Zpu h S' i `s. Location of proposed encroachrl (Example: Side yard at back of sidewalk or front yard at back of sidewalk) 4. Period of time for which the encroachment is to be maintaine Indefinite or Other. easeCircle) 5. is property part of Homeowner's Association Yes Jq Q 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, orjudicial tribunals of any kind whatsoever, arising out of, connected withor caused by applicants 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 agreesthat upon the expiration of the permit for which this application is made, if granted or revocation thereof by the City engineer, applicant will at his own coat and expense remove the same from I property or right of way where the same is located, and restored said public property or right of way to the cot neatly 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 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 al any time. 5 tEncroachmentPem,itsy pplicatfonforEnaoaahmenl B a_ K E R G F I p Public Works Department 1501 Truxtun. Avenue Bakersfield, California 93301 (661) 32&3724 TO WHOPh IT MAY We the inde-Signed, have no objection to the construction of a fence beside the sidewalk within the Public right-of-way. �� e- -Z-- (Suce�lj or propomd Nrv.c rnenp By,wners© m (AdJresss of proposed encroaGrmenQ NED ) flame. 2.) Name: 3) Name: C C` s: n/( 1 r pAddres—/ 4.) Name: )0lfQ Alio ) p.�j Atldress�, �r'S t /-! Lr r 5) Name: Address: 5.) Name: Address: Date: �,. -( _ _J.o/.� bate: 9//3 Date: Date:.°�— Date: Date: WDDFYYYY nc iro & OB/18Y2EVIDENCE OF PROPERTY INSURANCE °"'E a/1SC?01133' THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY PHONE _ ,cc�1 be cn-in COMPANY Omega Insurance 400 H Street Bakersfield, CA 93304 INSURED Johnny Lopez 7018 Olen Arnold Ave Bakersfield, CA 93307 THE POLICIES OF INSURANCE NOTWITHSTANDING ANY REO EVIDENCE OF PROPERTY INSI SUBJECT TO ALL THE TERMS, COVERAGE INFORMATION _ DWELLING COVERAGE OTHER STRUCTURES PERSONAL PROPERTY LOSS OF USE PERSONAL LIABILITY MEDICAL Mcgravi Insurance 3601 Haven Avenue Menlo Park, CA 94025-1033 LOAN NUMBER POLICYNUMIM Pending WNGD460731 EFFECTNE DAm ERPIRATION DATE CONTINUED UNTIL 03/28/12 03/28/13 ❑ TERMINATED IF CHECKED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. VT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DFSCRIRFn HFRF 25,400 127,000 50,800 100,000 1,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST ---------------------------- HAMEANDADDRESS MORTGAGEE ADDITIONAL INSURED ACORD 27 (2009112)OF993-2009 ACORD CORPORATION. All righfs reserved. The D name and logo are registeretl marks of ACORD • K F K S F I F L ] PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager L`---) FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 20, 2013 SUBJECT: Encroachment Permit Application for: 7018 Olen Arnold Ave Name of Applicant: Johnny 6 Azucena Lopez Description of Encroachment: Existing 4' 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:'PERM ITS\ENCROAC11\I1NISURANCEV018 Olen Arnold Ave.doc Y. A K E R S F I E L. D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 20, 2013 SUBJECT: Encroachment Permit Application for: 7018 Olen Arnold Ave Name of Applicant: Johnny & Azucena Lopez Description of Encroachment: Existing 4' wrought iron fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S TERMIT&ENCROACHTRAFF07018 Olen Arnold Ave.doc