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
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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
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B a 7: E L
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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.
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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