HomeMy WebLinkAbout2715 GIOVANETTI AVEENCROACHMENT 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 . . . . . 13-30000051 Date 7/19/13
Property Addreea 2715 G10VANETTI AVE
Application type description PW - ENCROACHMENT PERMIT
TERFAZAS CYNTHIA OWNER
2715 GIOVANETTI AV
BAKERSFIELD CA 93313
Permit . . . ENCROACHMENT PERMIT
Additional deet . .
Phone Access Code 1350566
Permit Fee 206.00
Issue Data 7/19/13 Valuation . . . . 0
Qty Unit Charge Per
Extension
1.00 208.0000 EA PW ENCROACHMENT
208.00
-------------------------------------------------------------
Special Notes and Comments
July 19, 2013 9:38:19 AM mmendenhal.
Existing 47 wrought it= fence at back
of sidewalk in front of house. Contact
person: Cynthia Terrazas 661-912-4934
July 19, 2013 9:42:34 AN mmendenhal.
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Fee Summary Charged Paid
Credited
Due
Permit Fee Total 208.00 208.00
.00
.00
Grand Total 208.00 208.00
.Do
.00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
rev ke the permit at any time. o / 7
Si nature f Ap licant (Owner/Agent) Pridt 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) A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFOR (GRANTED DENIED) Said permit shall expire on date stated above.
Signature of Qty Eng,
Additional Terms on the Back
B A K E R S F T E L D
Public Works Department
1501 Tru a.n 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 12.24 of the Bakersfield Municipal Code, the undersigned applies for a permit to
place, erect, use and maintain an encroachment on public property or rightof-way, as therein defined.
fence, concrete block wall, raised planter, etc...)
,f U t
I I I, fill 4 k I %f M i 1-1 r�--n--rn 011 I
3. Location of proposed encroachment: (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 maintained:Indefinite or Other.
ease Circle)
5. Is property part of a Homeowner's Association Yes ✓seNo
.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, 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 the f by the City engineer, applicant will at his own cost and expense remove the same from the Public
property or richt 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 the permit al
any time.
S tEncroachmentPe,mitstapPlioa6onrorEnwachment
D
B A K E R 6 F I® E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661)326-3724
rO WHOM IT YIAY CONCERN:
We the undersigned, have no objection to the construction of a fence beside the sidewalk within the
public right -of -Way.
proposed
,.,,Wfor proposed Uwntu ame
«I a--7 is Gqt3L1
(Address of pr000sed encroRchment)
21 n II c A, F71ZAddress: �—
2.) Name: dou�c�tt-Z
Address:I-
3.) Name:
Add ress: 7.611\ I j,ndn 1JIQ
4.) Name: l'( clk r/l%le',11Ar� 0
Address / -- ('
5.) Name: Af1c C ES', 13 R1eBey-
Address:a� 610 UP A1K r Tl', Af/f
6.) Name:
Address-,—`j/f7 -71 I(.YiG/ LP
Date: -1117/1.
Date:, �1 I �---t)
Date: /�
Date: 13
Date: %— 1 e — /3
/Declaration Number: 001
Effective Date: 02/02/2013
Page 3
Policy Number: XH0209184-5
Cynthia Terrazas
COVERAGE DECLARATIONS
Location Aditw,.,Z,.,.Wuanetti Avenue Bakersfield, CA 9333
Basic Coverages: Limit
Section I Coverages:
Coy A - Dwelling
Coy B - Detached Structures
Coy C - Personal Property
Coy D - Loss of Use
Section 11 Coverages:
Coy E - Personal Liability
Coy F - Medical Payments
Each Person
Each Accident
Property Insurance Disclosure:
$ 222,000
$ 22,200
$ 155,400
$ 44,400
$ 1,000
$ 25,000
Deductible
$ 500
$ 500
$ 500
This location Includes Specified Additional Amount of Insurance for Coverage A - Dwelling.
This location Does Not Include Earthquake Coverage.
This location Does Not Include Building Code Upgrade (Ordinance or Law) Coverage- Form PHOO41009 Not Purchased.
This location Includes an Annual Inflation Guard of 4%.
Additional Coverages
Form
Limit
Premium
Personal Property Replacement Cost
H004901000
Refer to Form
$ 0
Specifed Add'I Amt Insurance Cov'A'
PHOO81009
Refer to Form
$ 10
H.O. Plus
PHO011012
Refer to Form
$ 26
Identity Theft Coverage
PH061761009
Refer to Tom
$ 25
Workers Compensation
H024900801
$ 100,000
$5
Date Primed 12/11,2012 INSURED
/ l �
iZ
S _A T-7 E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: August 1, 2013
SUBJECT: Encroachment Permit Application for: 2715 Giovanetti Ave
Name of Applicant: Cynthia Terrazas
Description of Encroachment: Existing 4' high wrought iron fence at back
of sidewalk in front of house.
Please review the attached encroachment permit and return to me at your earliest convenience.
SVERMIMENCROACHURHFFICV715 GlovaneGi Ava.oac
•
B A h E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager4
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: August 1, 2013
SUBJECT: Encroachment Permit Application for: 2715 Giovanetti Ave
Name of Applicant: Cynthia Terrazas
Description of Encroachment. Existing 4' high wrought iron fence at back
of sidewalk in front of house.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:U'ERMITSeNCROACHIINSURANCE\2715 Giovanetti Ave.dm