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HomeMy WebLinkAbout1700 FREMONT STBAK ENCROACHMENT PERMIT aFpw U,� s 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 --------------------------------------------------------------------------- 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 --------------------------------------------------------------------------- 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 --------------------------------------------------------------------------- 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. i�.,4,r� 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. iS5'ti�rs 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.): Jff JC—k 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 ------I _-, _,._ ,o tP>--fi—the. 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: $208.00 ept. 2013 S:\PF:RMI1'$\GNCRDACI{\Enorouchmcnt pa*nit Req rroem.t}t}C 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. �. / /— 1CiJ �f lmon 6TC'Nfln m2nc/; ('ttem for propose encronchmenl wners arse Cr t1har,flRUl q31-0`717 (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' I�IIII�IIIYIYI�YIIIYIIIY�IIIIuuYI��IIIII�I�IIIIIIII�aaIIIIYY�IIYI�IYu�I�IYhYIYI�Vulllllll� 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 InI.—r. ssm Page 2 'I.,2XII wmoeau -, -s= "tel-