Loading...
HomeMy WebLinkAbout7619 CHINA DOLL LNTO 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 . . . . . 13-30000063 Data 8/15/13 Property Address 7619 CHINA DOLL IN Application type description PW - ENCROACHMENT PERMIT owner contractor ------------------------------------ RAMIREZ JOSE M 6 VIZCAPAA LOUR OWNER L 9900 JNDD 8T BAKERSFIELD CA 93313 Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1360676 Permit Fee . . . . 208.00 Issue Date . . . . 8/15/13 Valuation Qty unit Charge Per ENCROACHMENT PERMIT BAKE 1.00 208.0000 EA PW ENCROACHMENT i� CITY OF BAKERSFIELD ------------------------------------------------------ Special Notes and Comments -------------------- ey PUBLIC WORKS DEPARTMENT Existing 9' high chain link fence at 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 . . . . . 13-30000063 Data 8/15/13 Property Address 7619 CHINA DOLL IN Application type description PW - ENCROACHMENT PERMIT owner contractor ------------------------------------ RAMIREZ JOSE M 6 VIZCAPAA LOUR OWNER L 9900 JNDD 8T BAKERSFIELD CA 93313 Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1360676 Permit Fee . . . . 208.00 Issue Date . . . . 8/15/13 Valuation Qty unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ------------------------------------------------------ Special Notes and Comments -------------------- AUSUet 15, 2013 2:10:59 PM mmenderhal. Existing 9' high chain link fence at back of sidewalk. Contact person: Lourdes Viscamra 661-717-0160 August 15, 2013 2:12:32 PM mmeodeNul. ---------------------------------'___"__"_--------------------------------- Fee summary Charged Paid " ---- --- ---------- ---------- Credited ---------- ---------- Due ------ Permit Fee Total 208.00 206_00 .00 .00 Grand Total 208,00 209.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke permit at any time. I / .� g ature of Appli t (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) CONSTjj1kTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE NTE (DENIED) Said permit shall expire on date stated above. Signature of City Engineer 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 (881)328-3724 APPLICATION FOR ENCROACHMENT PERMIT Pernik Fee $208.00 To the City Engineer of the City of Bakersfield, California: pursuant to the provisions of Chapter 12.26 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: t f1 r"yS 2. Nature or description of the encroachment for wt,>,'�ch this application is made: (Exampte: Wood or wrougir iron fence, concrete block wall, raised planter, etc...) l ual, o�' y r3K FEf%CF 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 maintain Indefinite ) or Other. se Circle) 5. Is property part of a Homeowner's Association as -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�judicisl, orjudiclal tribunals of any kind whatsoever, arising out of, connected with, or 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 unit such time that this permit is revoked. Applicant further agrees that upon the expiration of the pennit for which this application is made, if granted or upon the property or right 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 peril at any lime. 5 encroachmentPennitsMpplkabonforEncroachment g(12 _ T. 3 S B a 7: E L R S F i E B - G Public Works Department - S 1501 Trumn Avenue -1415t- Bakersfield, r4.rSt"Bakersfield, California 93301 (661)326-3724 r0 WHOry IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the Sidewalk within the pubiic right -Of -War, GltryA DOIa Br.�uf't- 0 V, i �ehZaaW (Succi or proposed eneroacPonent) wners xme) (o(� Cttinna- r�Du t,rJ ar cra��p{cA Ph^" l°�f� £ y 0409 (Address of proposed encroa4imen[)��- 1 ) Name. Address: 2.) Name: Address: V V 3.) Name: 4.) Name' Address. 5) Name'. Address; 6.) Name, Address: Date: l Date: -6 /,2 ct3� 1 Date: /7R-05-1-3 Date Date: Date: Issued: 07/29/2013 Universal North America Insurance Company RENTAL DWELLING PREMIUMS P.O. Box 901036 Fort Worth, TX 76101-2036 Amended Declarations Page Attached Endorsements Premium Policy Service: 1-866-458-4262 DECLARATION EFFECTIVE: 07/30/2013 Claims Service: 1-866-999-0898 DIRECT BILL $.00 www. universal northamerica. corn $418.00 1 NCL Reason: Amend Liability to 3001, PERIL DEDUCTIBLE PER LOSS. COVERAGES -SECTIOND Policy Number 1 From Policy Period To A ent Code CAVD0000004351-1 25/13 04/25/14 12:01 AM STANDARDTIME 11147 NAMED INSURED AND ADDRESS: AGENT: 661) 3972810 PROT CLASS JOSE RAMIREZ LOURDES VIZCARRA 4408 JUDD ST BAKERSFIELD CA 93314-1111 IVANTAGE SELECT INS AGENCY INC ROY GARZA 920 WIBLE RD BAKERSFIELD CA 93304 Coverage is provided where premium and limit of liability is shown. Important Notices: Coverage for flood damage is not provided by this policy. Coverage for earthquake damage is not provided by this policy. Loss Assessment for Earthquake is NOT covered by this policy. Contact your agent for additional information on how to obtain these coverages. COVERAGES - SECTION I PREMIUM SUMMARY PREMIUMS Coverage A. Dwelling Basic Coverages Premium Attached Endorsements Premium Scheduled Property Premium Fees Total Policy Premium & Fees -$347.00 $31.00 $.00 $40.00 $418.00 1 NCL SECTION I COVERAGES ARE SUBJECT TO A $500 ALL PERIL DEDUCTIBLE PER LOSS. COVERAGES -SECTIOND LIMITS PREMIUMS Coverage G Personal Liability LOCATION $45 Coverage M. Medical Payments to Others FORM 1 CONST YEAR 1 USE NUMFAM CUP PROT CLASS TERRITORY 3 FR 2004 Primary1 Tenant 03 44 EARTHQUAKE INCLUDED COUNTY CODE PERSONAL PROPERTY REPLACEMENT COST N Kam N Coverage is provided where premium and limit of liability is shown. Important Notices: Coverage for flood damage is not provided by this policy. Coverage for earthquake damage is not provided by this policy. Loss Assessment for Earthquake is NOT covered by this policy. Contact your agent for additional information on how to obtain these coverages. COVERAGES - SECTION I LIMITS PREMIUMS Coverage A. Dwelling $151,000 $302 Coverage B. Other Structures $15,100 1 NCL Coverage C. Personal Property $2,500 N I A Coverage D. & E. Fair Rental Value/Additional Living Expense $15,100 1 NCL SECTION I COVERAGES ARE SUBJECT TO A $500 ALL PERIL DEDUCTIBLE PER LOSS. COVERAGES -SECTIOND LIMITS PREMIUMS Coverage G Personal Liability $300,000 $45 Coverage M. Medical Payments to Others $500 N / A LOCATION(S) OF PROPERTY INSURED 7619 CHINA DOLL LN, BAKERSFIELD CA 93307 UNA DF CA DEC 01 11 Insured Copy Continued on Next Page... PAGE 1 Universal North America Insurance Company P.O. Box 901036 Fort Worth, TX 76101-2036 Policy Service: 1.866.458.4262 Claims Service: 1-866-999-0898 w .uriversalnorthamerica.com 0125 JOSE RAbIIREZ LOURDES VIZCARRA 4408 JUDD ST BAKERSFIELD CA 93314-1111 CAVD0000004351 1Wa W 1 125 ' S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 19, 2013 SUBJECT: Encroachment Permit Application for: 7619 China Doll Ln Name of Applicant: Jose Ramirez & Lourdes Vizcarra Description of Encroachment. Existing 4' high chain link fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earlliiJest convenience. e / 2 Z'1 20t3 0� Doi[ �3�7 �a'4'0(05�«0(6C� rnc' 1 ( fo 33� 3 China Doll Ln.dw Y, A I� E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager -C FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 19, 2013 SUBJECT: Encroachment Permit Application for: 7619 China Doll Ln Name of Applicant Jose Ramirez & Lourdes Vizcarra Description of Encroachment: Existing 4' high chain link fence at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. China Doll Ln.doc e — G` E P 5 F 1 E L p Public Works department 1501 Truzlun Avenue Bakersfield, California 93301 1661)326-3724 ENCROACHMENT PERMIT REQUIREMENTS 1 Application 2. Permit Fee of $208.00 3. Drawing; Minimum 8 1/2x 11 showingencroachment on lot in relation to the existing curb, gutter and sidewalk, along with distances from curb, gutter and sidewalk to the. encroachment. Drawing to include curb, gutter and sidewalk and any additional information that may assist the City in making a determination as to your request. 4. Type and Amount of InsuranceCoverage for fence installation or construction for A. Residences Homeowners General Liability coverage in an amount of at least $300.000:00 B Commercial Commercial General Liability coverage in an amount of at least $1.000,000.00 Additional Insured Verbiage (For Commercial) A. The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as additional insured's with respect to (i.e. the installation of a chain link fence at. 15C1 Truxtun Ave.). 5 tincroanimer.IPertnnspnsmanceP.eCui:amenls