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