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HomeMy WebLinkAbout1619 FREMONT 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 for a permit to place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 13-30000053 Data 7/24/13 Property Address 1619 FREMONT ST Application type description PW - ENCROACMIENT PERMIT Owner Contractor ---------------------------------- RODRIGUEZ ANA MARIA OWNER 1619 FREMONT ET EA%ERSFIELD CA 93304 Petmi[ . . . ENCROACHNENT PERMIT Additional desc . . Phone Access Code . 1351790 Permit Fee . . . . 208.00 Issue Data . . . . 7/24/13 valuation 0 4ty Unit Charge Per E tension BASE FEE .208.00 --------------------------"------------------------------------------------ Special Notes and Comments 4' Erick pillars with wrought iron fence n front of house behind sidewalk. Anamaria Rodriguez 626-627-9256 1Credited Fee summary Charged ---- -------- Due Permit Fee Total 206.00 206.00 .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. �Sfgnature 6f Applicant (Own r/Agent) Print Natime 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) CPNSTrrcgE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRAN D)) (DENIED) Said permit shall expire on date stated above. �� Signature o City Engineer - -- Additional Terms on the Back apo cc)o 0S� 3 2 B A K E R S F I P L D Public Works. Department 1501 Truxtun Avenue Bakersfield, California 93301 (561)326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 b11,Vt y1,, To the City Engineer of the City of Bakersfield, California: U� -)-3b 3b --IDS _I0S Pursuant to the provisions of Chapter 1220 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or rightrof-way as therein defined. 1, FW name of applicant and complete address including phone number. St. Ba Kers+teld. Ca. 95301 'U.Z(1-U.Z7-9as(o_ 2. Nature or description of the encroachment for which this applicatloq is made: (E>Sampie: Wit or wrought iron fence, concrete block wall, raised planter, etc...) RY%CiL Q/IQ IUY0GC1 M' 6YOii -leALP 's. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) Fron-H 46VA 4. Period of time for which the encroachment is to be maintained: Indefinite or Other. �e✓/nan�� (Please Circle) 5. Is property part of a Homeowner's Association Yes x 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, orjudidal 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 riaht of wav 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 furnish the City Risk Manager with a Certificate of Insurance evidencing sufficient coverage for bodily injury or property damage iiability or both and required endorsements evidenc- ing the insurance rec�uired.WThe yt pe(s) and amounts) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Cope Chapter 12.20 to revoke the permit at anytime, 5 @ncroacnmentPermilsV PPl,caronforEnvoaUmenl --� -r 6 A K E R S F I E L D Public Works Department 1501 Truxtun 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. )W �remarH st. gaacersF�eld Ca (Suter or propose encroachment) (,f (Address or proposed encroachment) SIGNED: mylARodriquez w11Cr5 2me,ri6� � h�nn� lczm - vz�- Basco 1) Name: JOSE �sEn Address 2.) Narne: Address: c -e 3)Name: Ly. g33oy Address: , 66 xl 2%J-�l33BV 4.) Name: Address: 5 ) Name: Address: 6) Name Address Date: L2y (/3 Date: 'I P3 i 111 Date: Date: Date: w- M arpaK �ornpuoy vvm) name �rncas In c)oomingron, Illinois 900 Old River Rd Bakersfield; CA 93311-9501 Named Insured AT2 K-23.3131-Fa06 H F AGUI00RI Dogs 3536 GIB ANN-MARIA 8 JOHNNY J 3536 6I33DN RD EL MONTE CA 91731-2336 HOMEOWNERS POLICY DECLARATIONS. PAGE Policy Number 71 -CH -A364-1 Policy Period Effective Date Expiration Date 12 Months SEP 112012 SEP 11 2013 The policy. period begins and ends at 12:01 am standard lime at the residence premises. Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding .policy period. It this policy is terminated, we will give you and the Mortgages/Lienholder written notice in compliance with the policy provisions or as required by law. 93304.4920 Loss Settlement Provision(See Policy) SECTION I Al Replacement Cost- Similar Construction A Dwelling 150,000 Homeowners Policy .Dwelling. Extension up to 15,000 6 C .Personal Property Loss of Use 112 500 Actual Loss Oncrease Dwlg Up Sustained Option ID SECTION II rdinance/Law 10%r$ L Personal Liability $ 300,000 (Each Occurrence) Damage to Properly of Others $ 500 M Medical Payments to Others (Each Person) $ 1,000 Loss Settlement Provision(See Policy) Al Replacement Cost- Similar Construction B1 Limited Replacement Cost - Coverage B Forms, Options,& Endorsements Homeowners Policy FP -7955. CA Homeowners Polly Endorsement Jewelry Furs 1,500 Each FE -3422 Option JF and Anicl ft500 Agggregate Oncrease Dwlg Up to y 30000 Option ID rdinance/Law 10%r$ 1,000 Option OL Other limits and exclusions I Your policy consists of this page, anyendorsements and the policy form. Please keep these together. FP -7018C 3664 251 1 NIS Prepare SEP 282012 Inflation Coverage Index: 237.3 Deductibles - Section I All Losses $ 2,000 In case of loss under this policy, the deductibles will be applied per occurrence and will be deducted from the amount of the loss. Other deductibles may apply - refer to policy. Policy Premium Discounts Applied: Home/Auto Ciaim Record apply - refer to your policy LISA LEUNG INS AGCY INC. 626-447-2776 $ 580.00 5wvozo ca e55 7N 1 s- 113 2ilW 10=ft) B A R 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: 1619 Fremont St Name of Applicant: Ana Maria Rodriguez Description of Encroachment: 4' Brick pillars with wrought iron fence in front of house behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\TRAFFIG\1619 Fremont St.doc • B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 1, 2013 SUBJECT: Encroachment Permit Application for: 1619 Fremont St Name of Applicant: Ana Maria Rodriguez Description of Encroachment: 4' Brick pillars with wrought iron fence in front of house behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. SPPERMITSrENCROACRUNSURANCE\1619 Fremont SCtloc J J O S Q Q S � OJ I aQ e Z W Q z U � O IS LU J aulWiwa ;esus _ _ _ J 09 %fMwaPS Paaadad �° bupau3 � 0'3 SESS V ael`a W N W (�� m Cys I a 4 CD �� z