HomeMy WebLinkAbout1719 FREMONT STTO 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 . . . . . 13-30000046 Mete 6//2sla
prcperty Address 1719 FROMMNf ST
Application type description PR - BNCAW@oHIT PRgDH4
Owner Contractor
________________________--_-______
PROVRNCIO RAM 6 LOCILI CHINESE
1719 FREMONT ST
RARBRSFIRM CA 93304
________________________________________________________-_-----
permit . . . ENCROACwOIItrr PERMIT
Additional desc . .
Phone Access Code 1362896
Permit Fee 208.00
Issue Gate 6/28/13 Valuation
oty unit charge Per letenaiml
1.00 208.0000 RA Pw BPCRROACRIRN[ 200.00
----------------------------------------------------------------------
Special Notes and Comments
Sure 26, 2013 0:2622 AN mmendardwl,
Existing 2- high brick well at back of
sidewalk. Will be adding 2' of wrought
iron on top with 6" in batWaen baro.
Contact persons Raul PYOVMcio
661-669-6767
•------------------- Charged----••---------Pa-i-----...C'ea--ditad--------------------
--
Pee summary d few
Permit Fee Total 200.00 200.00 .00 Ali
Orand Total 206.00 200.00 .00 ,00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at/a�ny�ttiim>e.
d)3 ��/' zu� '0 .0G 11f 1 V .(�
�oiMoc jr)
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) CqNSTIT TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORERANTE (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
ENCROACHMENT PERMIT
BA r
CITY OF BAKERSFIELD
v
o
PUBLIC WORKS DEPARTMENT
.�
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
L1F0
(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 . . . . . 13-30000046 Mete 6//2sla
prcperty Address 1719 FROMMNf ST
Application type description PR - BNCAW@oHIT PRgDH4
Owner Contractor
________________________--_-______
PROVRNCIO RAM 6 LOCILI CHINESE
1719 FREMONT ST
RARBRSFIRM CA 93304
________________________________________________________-_-----
permit . . . ENCROACwOIItrr PERMIT
Additional desc . .
Phone Access Code 1362896
Permit Fee 208.00
Issue Gate 6/28/13 Valuation
oty unit charge Per letenaiml
1.00 208.0000 RA Pw BPCRROACRIRN[ 200.00
----------------------------------------------------------------------
Special Notes and Comments
Sure 26, 2013 0:2622 AN mmendardwl,
Existing 2- high brick well at back of
sidewalk. Will be adding 2' of wrought
iron on top with 6" in batWaen baro.
Contact persons Raul PYOVMcio
661-669-6767
•------------------- Charged----••---------Pa-i-----...C'ea--ditad--------------------
--
Pee summary d few
Permit Fee Total 200.00 200.00 .00 Ali
Orand Total 206.00 200.00 .00 ,00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at/a�ny�ttiim>e.
d)3 ��/' zu� '0 .0G 11f 1 V .(�
�oiMoc jr)
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) CqNSTIT TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORERANTE (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
1 3 300wo H(v
B A K E R S F L E L D
Public Works Department
1501 Truxtim Avenue
Bakersfield, California 93301
(661) 325-3724
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.
A. Ful name of applicant and complete address including phone number.
719 ICeanc:If S
2. Nature or description of the encroachment for wh' this application is made: (Example: Wood or wrought iron
fence, concrete block wall, raised planter, etc...) P[ytCfG:7 V, SlUct�yy�nll
'o. Location of proposed encroachment: (Example: Side yard of back of sidewalk or front yard at back of sidewalk)
4, Penod of time for which the encroachment into be maintained- fndefinite• or Other.
(Please 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, quesiyudicial, or judiclal 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
tv or right of way where the same is located, and restored said public property or right of way to the condition as
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 fumish 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 types) and amount(s) of insurance coverage is:
Applicant acknowledges the night of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at
anytime.
S'IEncroachmenlPem,itsW PpficationforEnaoachment
S A K E R 6 F I E L D
Public Works Department
1501 Twxwn Avenue
Bakersfield, California 93301
(661)326-3724
WHOM IT MAY CONCERN:
We the undersigned, have no objection to the constNction of a Fence beside the sidewalk within the
pubbC rigm-ol-way.
By:
(Suter for proposal eneroachmenl) (OwnersName)
Qf
hnns
(address of proposed eneroadimau)
_SIGNED:
1) Name ., y,tI'/ tly-t� Date:
Address4v
2) Name: �''�( Y ,y �, [/$Co. oSCG"^G Date: O4 -2A -i4
Address:
3) Name `r�be✓n 54f �i�yp Date: 0-26-/3
Address: 101,,S'—
4) Name: �_i'y �IPx/z Date'. _a %— /, j
Address: l��o'ir M NT 5l
5) Name, �y �J 1 Q ii t f�i�4 �� Date:
Address: 4kio
6.) Name: 13A4-0- - .:1� Date:
Address: i1
Evidence of Insurance for Mortgagee/Other Interests F A R M E R S
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 in accordance with the policy provisions.
Insured Information
Named Insured
RAUL PROVENC10 AND LUCLLA PROVENCIO
Mailing Address
1719 FREMONT SF
BAKERSFIELD CA 93304-4922
Property Address
1719 FREMONT ST
BAKERSFIELD CA 93304-4922
Policy Information
Policy Number 908964093
Company Name FIRE INSURANCE EXCHANGE
Policy Type SPECIAL FORM/TOWNHOUSE SPECIAL
Policy Status IN FORCE
Coverage
Policy Term Effective Date
12/04/2012
Renewal Data
12/04/2013
Annual Premium
936.32
Balance Due.
$11.10
First Mortgagee
BANK OF AMERICANA
ISAOA ATIMA
PO BOX 961291
FORT WORTH TX 76161-0291
Second Mortgagee/Other Interest
No Additional Mortgagee(sVOther Interest(s) available
Mortgpagqee, Deductible Clause
TI FOLLOWING PROVISION APPLIES ONLY IFA MORTGAGEE IS NAMED M THE POLICY:
FOR ANY LOSS. M 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 OF THE.
FOLLOWING AMOUNTS:
: 1. THE DEDUCTIBLE STATED IN THE DECLARATIONS OR RENEWAL NOTICE, OR
12. 51,000.
THE POLICY DEDUCTIBLE STATED IN THE DECLARATIONS OR RENEWAL NOTICE WILL APPLY TO SETTLEMENT OF ANY
INTEREST YOU MAY HAVE IN THE PROPERTY OR LOSS
438BYUNS Endorsement Included Y
Z5 2760 +11 Print Date: 06/252013
Agent Information
Name E BOB WHITE If
Address 3811 AUBURN ST
BAKERSFIELD CA 93306-2760
Phone 661-871-3000 Fax 664871-3131
Email ewhitc2odfarmersagent.com
Coverage Information
Coverage
Limit
Dwelling
$181.000
Extended Replacement Cost
$45,250
Personal Property
$126,700
Personal Liability
$300,000
Deductible applicable to each covered loss:
$500
Loan Number/61857761 Who Pays MORTGAGEE
Mortgagee Effective Date 10/18/2010
Loan Number
Mortgagee Effective Date
President
1
Authorised Formers Representative
i r�1
B 1 K E R 5 F I E L L3
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: June 28, 2013
SUBJECT: Encroachment Permit Application for: 1719 Fremont St
Name of Applicant: Raul & Lucila Provencio
Description of Encroachment: Existing Thigh brick wall at back of
sidewalk. Will be adding 2' wrought iron on
top with a 4° gap in between bars.
Please review the attached encroachment permit and return to me at your earliest convenience.
PAc 5�f4
S:IPERMITS\ENCROACH\TRAFFICM19 Fremont StAoc
•
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Managgr� J
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: June 28, 2013
SUBJECT: Encroachment Permit Application for: 1719 Fremont St
Name of Applicant: Raul & Lucile Provencio
Description of Encroachment: Existing 2' high brick wall at back of
sidewalk. Will be adding 2' wrought iron on
top with a 4" gap in between bars.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANCE\1719 Fremont St doc
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