HomeMy WebLinkAbout3401 KAPRAL WAYBAKE ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
o PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
C 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 . . . . . 13-30000077 Date 11/19/13
Property Address 3401. KAPRAL WAY
Application type description PW - ENCROACHMENT PERMIT
QUINTANILLA CRISTINA OWNER
3401 KAPRAL WY
BAKERSFIELD CA 93309.
Permit . . . ENCROACHMENT PERMIT
Additional peso . .
Phone Access Cade . 1397249
Permit Fee . . . . 208.00
Issue"Date . . . . 11/19/13 valuation . . . . 0
Qty Unit Charge Per
SASE FEE
--------------------------------------------
Special Notes and Comments
Existing 4' high white picket fence
behind sidewalk.
Cristina Quintanilla 661-717-4283
-.__. ._-__.._____
Fee summary Charged Paid
----------------- ---------- --------
Permit Fee Total 208.00 208.00
.,and Total 206.00 208.00
Extension
208.00
------------------------
---------------------------
credited Due
-------------------
.ao 00
00 00
plicant ac ledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
re ke the p i at any7time.
stun of A icant (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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE (GRANTED) (DENIED) Said permit shall expire on date stated above
Signature of City Engineer
Additional Terms on the Back
ENCROACHMENT PERMIT J
APPLICATION FORM
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN. AVE
BAKERSFIELD CA 93301
(661)326-3724 Fax: (661) 852-2012
LfOCATION OFENCROACHMENT(Addressrequired where available):'AVO\rc.��7Gy _
\�I Q�Se•r s.`cVt �.� Q q 05
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection.
APPLICANT INFORMATION 1
FULL NAME OF APPLICANT c4, y c, �t;ev��tD.vxR V
COMPLETE ADDRESS: "j CinG` ka/(��ySA iii PHONE: (0(0
FAX:
CELL: (PC. I-
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
planter, etc.): i C9i�, PZ �c'F- �i-2rfe
PERIOD OF TIME FOR ENCROACHMENT: NDEFINITE r OTHER:
ro e)
.CONTACT PERSON V Ui RHONE: (a(n -7—
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, orjudicial 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
0 onerty or right of way where the same is located. and restore 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 evidencing
the insurance required. The type(s) and amount(s) of insurance coverage required are:
Residences: Homeowners General Liability coverage in an amount of at least $300,000.00
Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00
The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated
volunteers as Additional Insureds.
Encroachment Permit Fee: $208.00
S'TERMITS\ENCROACH\Encroachment N mit Req Fo=.DOC S,t. 2013
B A K E R S F I E L D
Public Works Department
1501 Tn.nhun Avenue
Bakersfield, California 93301
(661) 326-3724
TO WHOM 1T MAY CONCERN
We the undersigned, have no objection to the COWnuctIon of a fence beside the BidlWalk Within the
Public right-of-way. /``�� \ 11
By: Qx F S�v\o. l-sd.)yy\�gY�il
�
@srve�l o'r roposx encroac �menl (� ,y� wners xme
(Address aP proposetl cncroadimwu)
SIGNED:
Name: p eS �N,oOO
Address: L9,7,
Name: !1a®nza icz
Address:a 5 11_,I W--
r Name:
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Address:
4.) Name:
Address:
115.) Name: ikl�Pr✓) �AfC�
Address:�f�
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Name:
Address:
Dates 1 4
Date.
Date: 'I I
Date: wa /?
Metropolitan Direct Property and Casualty Insurance Company
MetLife Auto &Home" 07/31/2013V
ST 04
Homeowners Declarations ST 04
Policy Number: 5235307520 Page 1 of 2
Policy Term: From 10/04/2013 to Renewal Effective Date: 10/04/2013
10/04/2014, 12:01 A.M. Standard Time
at the location of the property
insured as stated in the policy.
Bill To: Insured
Named Insured: First Mortgagee: Loan 9503954190
CRISTINA QUINTANILLA KERN` SCHOOLS FEDERAL CREDIT UNION
3401 KAPRAL WAY PO BOX 40490
BAKERSFIELD CA 93309 BAKERSFIELD CA 93384
The residence premises covered by this policy is located at:
3401 KAPRAL WAY BAKERSFIELD CA. 93309
Basic Policy Coverages Limits Premiums
A- Dwelling $ 237,900 $ 478,00
B - Private Structures $ 47,580
C- Personal Property $ 118,950
F- Personal Liability:
Each Occurrence $ 300,000 $ 32.00
G - Medical Payments to Others:
Each Person $ 5,000 $ 11.00
Loss of Use $ 59,475
Causes of Property Loss
Special Perils
Building Property Loss Settlement
Extended Loss Settlement Incl
Personal Property Loss Settlement
Actual Cash Value
Current Annual Premium: $ 521.00
Deductible(s)
$1000 deductible applies to each loss.
Forms and Endorsements: HP1000 0902 HP2000 0205 HP3300. 0904 HP4520 0113
HP5100 0105 HP6000 0205 HP7000 0902 C117CA 0108 HA01 CA 0108 HA30CA 0108.
Discounts for the following have been included in the current annual premium:
* 30% Home Policy Plus, Including
Automobile
* 5% Protective Device Discount
Rating Information
Territory 54 Within 03 miles of 1 Family
Protection Class 3, Fire Department: Frame Construction
Within 1000 It of hydrant. BAKERSFIELD Built in 1976
Composition Roof Insured DOB 1125/1963 Updated in 2005
Roof Age 05 Years
MCLLIIe Nulo&Homeisa Gmnd of MCVapoliNn pmpeM and Casuallylrewan<e Compapy an Rs aKliaRS Wam'ick. Rl..
MPL 1380-000 Pnnled in U.S.A. 0298
•
E, A I�: E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: November 21, 2013
SUBJECT: Encroachment Permit Application for: 3401 Kapral Way
Name of Applicant. Cristina Quintanilla
Description of Encroachment: Existing 4' high white picket fence behind
sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
112 22013
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S\PERMITS\ENCROACH\TRAFFIC\ 01 Kapral Waydoc
B A IL E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: sManager "'V
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: November 21, 2013
SUBJECT: Encroachment Permit Application for: 3401 Kapral Way
Name of Applicant: Cristina Quintanilla
Description of Encroachment: Existing 4' high white picket fence behind
sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S.TERMITMENCROACHVNSURANME 01 Kapral Way.d.