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HomeMy WebLinkAbout2202 BRAZIL AVEENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (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 . . . . . 14-30000011 Date 2/26/14 Property Address 2202 BRAZIL AVE Application type description PN - ENCROACHMENT PERMIT Owner Contractor ----------------------- ------------------------ RANDLE MMON OWNER 2202 BRAZIL AV BAKERSFIELD CA 93313 ---------------------------------------------------------------------------- Perini[ . . . ENCROACNNENT PERMIT Additional desc . . Phone Access Code . 1434869 Permit Fee . . . 208.00 Is. Date . . . 2/28/14 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ---------------------------------------------------------------------------- Special Notes and Com snts Existing 4 foot wght iron fence at back of sidewalk. Contact person: xamya Randle 330-3140 Fee maty Charged Paid Credited ---------- Due ----------------- ---------- -' Permit Fee Total 208.00 208.00 .oD .00 Grand Total 208.00 208.00 .00 .00 Applicant, acknowledges the right of the Ity Engineer, pursuant to the Bakersfield IM ic'pal Code Chapter 12.20 to revoke lie permit ata i Signature of A pli an (Own/Agent) )riintName 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 (( NTE ) (DENIED) Said permit shall expire on date stated above. 1%� Signature of City Engineer Additional Terms on the Back 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 APPLICANT1 COMPLETE ADDRESS: ^' ' OF planter, etc.): PHONE: FAX: CELL: ( f' r l .5 36 3 i � Y& PROJECT INFORMATION ENT (Example: Wood or Wrought iron fence, concrete block wall, raised PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) 9 CONTACT PERSON Ih�1 �\ �(+V1 i� t" PHONE: tt ( l i -O 7 `� d 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 revocation thereof by the City Engineer Mlica t will at his own cost and expense remove the same from the public property 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::\pERMITS\rNCROACMEncroaoh W N.it Req Fm..DOC Sept. 2013 • B A K E R S F I E L D Public Works Department 1301 Truxtun Avenue Bakersfield, California 93301 (Bell 326-3724 TO WHOM IT MAY CONCERN We the undersigned, have no objection to the construction of a fence beside the sidewalk within hie public right-of-way. Bn,( chi,n�l Sucm .or oroqoscd encroachment) ( wni eme) Of Ave - (Admen of proposed encroaehmcw) SIGNED: Date: Address: 2.) Name: Address 3.) Name. Address 4.) Name: Addres: 5) Name: Add es B.) Na: e: Address: Dates z— 17- 331��j Date Date: Z / /i Date Date: W� FARMERS Evidence of Insurance for Mortgagee/Other Interests Thio form is nMtha contact of inaarancnit ie a memorandum of coverage limited M mor[gngedother interests, provided m their repuestand applicable Mahe dwelling m building at the location below. The provisions ofthe policy will prevail in all respects. Tbie certificate of inductance docs not afffr lively or negatively amend, extend, or aexlter the covemge afforded by the Insurance policy. Should vhsions ce policy be caaadla by the company before the piration date thcreof, notice will lu given in accordance with the policy P Insured Inforwillpn Named b'sured MYRON RANDLE Maili %SAddress 2202 BRAZIL AVE BAKERSFIELD CA 93313-5534 property Addrace 2202 BRAZIL AVE EAKEREFIEI,p CA 93313-5589 Fakir Information Policy Number 953557371 Company IQeme MID-CENTURY INSURANCE COMPANY PbrWYTypc NEXT GENERATION HOMEOWNERS Policy Statue INFORCE Dwelling Policy Term Etfeedve Datc 02/1512014 Renewal. Date 02/15/2015 Annual Premimm 834.94 Balance one $43'48 First martgngee LOAN CARE SERVICE CENTER ISAOAATIMA PO BOX 202049 FLORENCE SC 29502-2049 Swill Modgpgee/Oihem Interest No Additional Mortgagee(s)/Other immest(s) available Agentlnfotmillon Nmne TIM GRAVES Address 311 STINE RD BAKERSFIELD CA93309-3268 Phone 661-396-72W Fac 661-39&7220 Email tgmva@farmereagent.com Coverage Information Coverage Limit $232,000 Dwelling &-bonded Raptaroment Cost $58,000 Pemonal Property $174.000 Personal Liability 5300,000 Deductible applicable to each covered toss: $1,000 Loam Nucaber 7126311 Who Pays. MORTGAGEE Mc,gagee Effeedva Date 12720/2012 Loan Number Mortgagee Effective Date fdpflil Deductible (Wage For my loss In which only the mortgagee's interest is adjusted and settled, not including any interest you may have in the property ar loss, e applicable deductible will be the smallest of the following amounts: 1. The deductible slated in the declarationS er renewal notice, or 2.$11000 notice The policy deductible stated in the declarations or renewal. ivill apply Msanlement of any iearrastyou may Have in the prtryecry or Iws 438BFUNS Eadoaemmti Included E290 ata Print Date: 02128P014 dud,lead Finaaa Replimpla vo acne t in z OMAN AT 119015nu 40m•18 on laarifir Mandard Timplr R)A•CFRIRFI7t PNIR-7A711 MIN tNIRATInN Iam-W-111.11 r"- 7 .. /�� ,�`J ;�p�e!+R"?!�i'1��1'if. 4ivti _"w!•t ,; a:.. LL 1 fP . J Bakmeftee 6 Puy to tb Ordee o¢ WELLS FARGO-BANr, Na WMN WELLSFAPGO))COM -1: 1 2 2000 24 71: 162M1220 2107 aa��eanem'ottN yprrew ne an o�cZ /c $ DoUars 5970821.12311' 21 ***rCOBTOMERkRECEIPTdI** Datr2128/14 34 e; MpENOENNPL ReDrawer: I ceiptOPro; 663P Year NUmGEP Amount 2014 3W00011 2202 BRAZIL AVE BAKERSFIELD, CA 33305 BP BUILDING PERMITS $208.00 Terrier detail. 2107 S208,00 CH CHECK Total tendered $20a.00 gW0 Total payment Trans datei 2/29/14 Time: 13:12155 HELP CONTROL THE PET POPULATION PLEASE SPAY AND NEUTER YOUR PETS • B a K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 4, 2014 SUBJECT: Encroachment Permit Application for: 2202 Brazil Ave Name of Applicant: Myron Randle Description of Encroachment. Existing 4' wrought iron fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S?PERMITSIENCROACHTRAFFICT202 Brazil Ave.dw • H A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 4, 2014 SUBJECT: Encroachment Permit Application for: 2202 Brazil Ave Name of Applicant: Myron Randle Description of Encroachment: Existing 4' wrought iron fence at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITSENCROACH\INSURANCE@202 Brazil Ave.doc