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.
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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)
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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
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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
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