HomeMy WebLinkAbout1700 FREMONT STBAK ENCROACHMENT PERMIT
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CITY OF BAKERSFIELD
v o PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
c .ktu® 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 . . . . . 15-30000003 Data 2/20/15
Property Address 1700 FREMONT ST
Application type description PW - ENCROACHMENT PERMIT
VIGIL VICTORIA
OWNER
1700 PREMONT ST
SAEERSPIELD
CA 93309
831-8917
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Permit . .
. ENCROACHMENT PERMIT
Additional dear .
.
Phone Access Code
1594985
Permit Fee . . .
208.00
Issue Date . . .
2/20/15 Valuation . . .
. 0
Qty Unit Charge
Per
Extension
BASE PEE
208.00
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Special Notes and
Comments
Existing 2' tall
block all . .d front
yard of property
behind sidewalk and a
6' tall block wall
around back yard
behind sidewalk.
Victoria Mendieta
(661) 831-0917
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Fee um ary
Charged Paid Credited
Due
----9--m---------
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, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time.
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Ig�e of Applicant (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) SaiiA permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
1-� E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer III
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: February 26, 2015
SUBJECT: Encroachment Permit Application for: 1700 Fremont St
Name of Applicant: Victoria Vigil Mendieta
Description of Encroachment: Existing 2' block wall around front yard of
property behind sidewalk and a 6'tall block
wall around back yard behind sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S: IPERMITSENCROAGHITRAFFIC\1700 Fremont StAoc
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager 4
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: February 26, 2015
SUBJECT: Encroachment Permit Application for: 1700 Fremont St
Name of Applicant: Victoria Vigil Mendieta
Description of Encroachment: Existing 2' block wall around front yard of
property behind sidewalk and a 6'tall block
wall around back yard behind sidewalk..
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANCE\1700 Fremont StdC
ENCROACHMENT PERMIT
APPLICATION FORM
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(661)326-3724 Fm:(661)852-2012
LOCATION OF ENCROACHMENT(Address required where available):
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection.
FULL NAME OF APPLICANT \7 I f'iOf f a V I r I� XA,
COMPLETE ADDRESS: _ I —M Y-rc drr/
B JCa/Jw C't G3�OU FAX:
CELL:CUCol �C(CI tS
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete blockwall, raised
planter, etc.):
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PERIOD OF TIME FOR. ENCROACHMENT: INDEFINITE or OTHER:
(Please Circle)
CONTACT
PHONE:
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 applicantfurther 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
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tv or right of way where the same is located and restore 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.
Applicantfurther 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
ept. 2013
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B A K E R S F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California Mitt
(661)326-3724
TO WHOMtT MAY CONCERN
We the undersigned, have no objection to the conStrOCtlon of a fence beside the sidewalk within the
public nigh; -of -way. �. / /—
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('ttem for propose encronchmenl wners arse
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(Addresa of progoxetl eoaonchmenr)
1) Name.41+ 1�bakr
Address: (�0 .L
2.) Name: Y d
Address:
3.) Name:
Address: e
4,) Name:
5.) Name:
Address:
6_) Name:
Address.
Date: e-% • �1 ��
Date
Date -
Date:'L
Date: `-
,ilstate Insurance Company
RENEWAL
Deluxe Homeowners
Policy Declarations
Summary
NAMED INSURED(S)
YOUR ALLSTATE AGENT IS:
CONTACT YOUR AGENT AT:
Frank Marchers
The Roy Garza Agy
(661) 397-2010
Victoria Vigil-Mendieta
920 Wible Rd
1700 Fremont Street
Bakersfield CA 93304-4125
Bakersfield CA 93304-4923
POLICY NUMBER
POLICY PERIOD
PREMIUM PERIOD
0 27 507914 02123
Begins on Feb. 23, 2015
Feb. 23, 2015 to Feb. 23, 2016
at 12:01 a.m. Pacific Time
at 12:01 a.m. Pacific Time
and continues until cancelled
LOCATION OF PROPERTY INSURED
1700 Fremont Street Bakersfield, CA
93304-4923
MORTGAGEE
• BANK OF AMERICANA
ITS SOPS WOR
ASSIGNS ATIMA
P 0 Box 961291 Fort Worth
TX 76161-0291
Loan 8670495905.
Total Premium for the Premium Period (Your bill will be mailed separately)
Premium for Property Insured
$1,153.00
TOTAL
$1,153.00
PROP 'S�e0oa915002SJR169a1eo5'
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Allstate Insurance Company
Policy Number 0 27 507914 02/[3 Your Agent: The Boy Gain Agy (661)397-2810
For Premium Period Beginning: Feb, 23, 2015
POLICY COVERAGES AND LIMITS OF LIABILITY
COVERAGE AND APPLICABLE DEDUCTIBLES LIMITS OF LIABILITY
(sea Policy for Applicable Terms. Gemft ,end Exe,o re)
Dwelling Protection -w/out Building Structure Reimbursement Extended Limits $213,555
• $500 All Peril Deductible Applies
Other Structures Protection
• $500 All Peril I
$21,356
Personal Property Protection- Reimbursement Provision $149,489
• $500 All Peril Deductible Applies
Additional Living Expense Refer to Policy
Family Liability Protection
$300,000
each
occurrence
Guest Medical Protection
$1,000
each
person
Home Day Care $300,000 total aggregate limit
Workers' Compensation and Employers' Liability Statutory/See Form
Coverage for Residence Employees
The limit of liability for this structure (Coverage A -Dwelling Protection) is based on an estimate of the cost to
rebuild your home, including an approximate costfor labor and materials in your area, and specific information
that you have provided about your home.
THIS POLICY DOES NOT INCLUDE BUILDING CODE UPGRADE COVERAGE.
This policy does not cover earth movement including earthquake
You have elected not to. purchase a CEA earthquake policy
DISCOUNTS Your premium reflects the following discounts on applicable coverage(s):
Protective Device 5 % Claim free 15 %
RATING INFORMATION
The dwelling is of Frame construction and is occupied by 1 family
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