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HomeMy WebLinkAbout3413 UNIVERSITY AVEanx ENCROACHMENT PERMIT 0�3.pNOM) -� CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 C 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 . . . . . 13-30000066 Date 8/23/13 Property Address 3413 UNIVERSITY AVE Application type description PW - ENCROACHNSNT PERMIT Owner Contractor FAMINES MARIA I OWNER 3413 UNIVERSITY AV 5ARE RSPIELD CA 93306 -----------------------"__.. Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1365331 Permit Fee . . . . 200.00 Issue Data . . . . 0/23/13 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 308.00 _•-----------"-----------------"___--------------""__----------_'_._-__----- Special Notes and Comments Construct new block wall in alley at 1.0 ft behind and curb return at alley intersection. --------------------- -------------------------------------------------- Feeummary Charged Paid credited --'----------------- Due ----s----_'------------------------- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuantto the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any tim 21) ( d ,� or -rte, Signature of Applicant (Owner/Ag 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) CONS11 UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTE NIED) 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 O Public Works Department 1501 Truxtun Avenue Bakersfield. California 93301 (661) 326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 '30Z — % CZ To the City Engineer of the City of Bakersfield, California: 6 I 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 defiVeetl P 1. Full name of applicant and complete address includin@@ phone number. n ' N p h—d� 1 1 '� �7Li i-) A _` �! , 111117 GL:I _2/Yi-IT /7 2. Nature or description of the encroachment for which this fence, concrete block well, raised planter, etc.,.) —r—of 3. Location of proposed encroachment (Example: Side yard at back of sidewalk or front yard at back or sidewalk) C. Penoo of time for which the encroachment is to be maintained: indeGniteJ or Other. ease Ci 5. Is property part of a Homeowners Association Yes r 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-judicial, or judicial 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 v or right of way where the same is located, and restored said public property or right of way to me 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 liability or both and required endorsements evidenc- ing the insurance required, The "(a) and amounts) of insurance coverage is: Applicant acknowledges the night of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. SlEncroachmentPe�mitP W pPlk%alion}orEnuoecM1ment B aK E R S F I 6 p Public Works Department 1501 Truxwn Avenue Bakersfield, California 93301 (861)326-3724 1-0 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. (S�or prl s• eneroechmen ��� Bim`% �K'p whets ame) s1t_3ql� VYIi rcf ebow, 661 (Addres of pmposrd cncroachmenp SIGNED 1 ) Name: �u �s%� Date: Address. �yyg 2.)Name: 1 �J du(•�0c� Date:-(S�-(� Address Un+irt(� e .�rfS 3) Name: Date: Addres 4: Name: Date: Atldres i.0yN1�_ 5; Name: Date: Fs�L3�lj Address: 6') Name, Date RLZZ1.3 Address: rG-: S 2 — SPECIAL FORM DWELLING FIRE FIRE INSURANCE EXCHANGE, LOS ANGELES, CALIFORNIA A Reciprocal Company Reelan oB oow Dederolieas. N any TRANSACTION TYPE OFFER OF RENEWAL The Policy Pedod is effective (not prior to time applied for) at described property Location. PODS NUMBER 'PROSPERED POMEARRON 94345-78-07 T0.0a, 05-25-2012 10: 05-25-2013 STANDARD FM 12:01 A.M. •01 FARMERS LARATIONS STANDARD FORM FIRE ISSUING OFFICE. 23175 NW Bennett St. Hillsboro,. OR 97124 This Polity will eonNnve For suc essive poky perlods, if: (1) we elect to continue this insurance, and (2) if you pay the renewal premium. for each medic Ind as ad by roles and fo®s thenen effxt. INSURED'S NAME 4 MAR! ADDRESS: I(OUTIXDNON DBOIFTM Of PPRROPFRIY'IfOVUED, td MARIA RAMIREZ LPEMOIML 3413 UNIVERSITY AVE E-ANINONMLIWNG BAKERSFIELD CA 93306-2043 )- MEDIUL PAY DESCRIPTION OF PROPERTY YBROFNM1RUt1ION LIABILITY (OPTIONAL) MRSMNOHM LPEMOIML D fAIRRENNL E-ANINONMLIWNG OMPAKY )- MEDIUL PAY MOBILENUME SIAUMAES - 1960 _�_._ FRAME E%PENSES 1 OR 2 FAMILY DWELLING OWNER OCCUPIED COVERAGES - We m mule insurance rely for those covem es indicated by a specific limit or other notation. PROPERTY LIABILITY (OPTIONAL) A DWELLING OR B-ONIER LPEMOIML D fAIRRENNL E-ANINONMLIWNG I -PERSONAL )- MEDIUL PAY MOBILENUME SIAUMAES P0.0PEAlY VALUE E%PENSES LMBNIY TO OWNS $315,000 $31,500 $31,000 $31,500 $31,500 $300;000 $1,000 Erih Oannia. Eyh Peron PERILS MSURED AGAINST %!OVERAGES PROVIDED % -PRVNM FIRE AND LIGHTNING $ 471.99 SPECIAL FORM PERILS $ 199.78 PERSONAL LIABILITY IS 58.00 TOTAL PREMIUM $ 729.77 ENDURSEMENf NUMBER HOEIRN LIMBER ;ENDORSEMENT DBUIETNN DP3 9-83 DWELLING FIRE - SPECIAL FORM CA033 IED ENDORSEMENT AMENDING CONDITIONS CA035 1ED AMENDED LOSS SETTLEMENT CONDITIONS CA042 SED ENDORSEMENT AMENDING OTHER COVERAGES & GENERAL EXCLUSIONS CA047 IED ENDORSEMENT AMENDING - CONDITIONS (DPI, DP2 AND DP3) DP300 3-88 DWELLING FIRE - SPECIAL STATE. PROVISIONS IMPORTANT NOTICE ADDITIONAL ENDORSEMENTS SEE E0052 DISCOUNTS NON SMOKER AND EXPERIENCE RATING PLAN DISCOUNTS HAVE BEEN APPLIED TO YOUR POLICY. AEDUCTIRLES POLICY AUPM $NONE Previous Balance $1,000 Deductible is applicable to coveredlosses. 729.77 Peemium ART IOIAL' LAURIE OR Fees« (PONT 51.00 OR USS WAR BE APOLLO N YOUR NFA CA sunoame BIWG. BALANUS (ALL Payments or credits VAPAREDUE UPONIKI . $NONE Tota `SEE ADDITIONAL FEE MORTGAGEE PAYS INFORMATION BELOW This Declarations pageis par[ of your policy. It supersedes mod controls anything to the contrary. It is otherwise subject to all other temps of the policy. AGENT: DUSTIN GONZALES AGENTPHONE: (661) 589-0304 AGENTNUMBER: 95-41-531 1 56 5103 BNI EDITION 10 -II " 94345-78-07(Connutred on Reverse Side) conntersignamre Authorized Repre entauve 04-03-2012 61MOII E K S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: September 11, 2013 SUBJECT: Encroachment Permit Application for: 3413 University Ave Name of Applicant. Maria Ramirez Description of Encroachment. Construct new block wall in alley at 1.0 feet behind end curb return at alley intersection. Please review the attached encroachment permit and return to me at your earliest cp�orn7venience. S, PFRMITS\ NCROACH\TRAFFIC\3413 Uni ersdy Ave dw • S A h E K S F I E L h PUBLIC WORKS DEPARTMENT MEMORANDUM Name of Applicant: Maria Ramirez Description of Encroachment: Construct new block wall in alley at 1.0 feet behind end curb return at alley intersection. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S TERMITSIENCROACHVNSUMNCEV3413 University Ave.doo TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: September 11, 2013 SUBJECT: Encroachment Permit Application for: 3413 University Ave Name of Applicant: Maria Ramirez Description of Encroachment: Construct new block wall in alley at 1.0 feet behind end curb return at alley intersection. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S TERMITSIENCROACHVNSUMNCEV3413 University Ave.doo K Public Work, Department 1501 TruaWn Avenue Bakersfield, California 93301 (661)326.3724 ENCROACHMENT PERMIT REQUIREMENTS 1 Application 2. Permit Fee of $208.00 3. Drawing; Minimum 8 112 x 11 showing encroachment 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. a. Type and Amount of Insurance Coverage for fence installation or construction for A. Residences Homeowners General liability coverage in an amount of at least $300,000.00 Com ial G eral Liability coverage in an amount of at least $1,000,000.00 Additional s red Verbiage (Por Commercial) A. The City of Bake a or 11, employees, agents and volunteers are added as addition insured's with respect to (i.e. the installation of chain link fence at 1501 Truxtun A.ve.). 5 �l xroaavr,en:Ge�m�sOnSwsncaPequi:emenis -- — -- . / | ® 2 \ » �-- — -- — -- — -- — --� / 0 & Q G ! � � | °•!< f•=, % o ! \ \ © � % ƒ / 2 C) © -_j ; -- — -- �/- / | ® 2 » G -- — --� -- — --� | ® 2 & Q G ! � � | °•!< f•=, % o ! \ \ ©