HomeMy WebLinkAbout2401 JULIAN AVEBAKE ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
�+ d PUBLIC WORKS DEPARTMENT
4 1501 TRUXTUN AVE
c tB 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 . . 14-30000012 Date
2/28/14
Property Address 2401 JULIAN AVE
Application type deecription PW - ENCROACHMENT PERMIT
Owner Contractor
________________________
PARRA STEVEN ANTHONY & ESTHER OWNER
2401 JULIAN AV
B RSPIELD CA 93304
--------
Permit . . . . . ENCROACHMENT PERMIT
Additional date .
Phone ACeeas Code . 1434976
P..it Fee . . . . 208.00
Issue Date . . . . 2/28/14 Valudtion . . . .
0
Qty Unit Charge Per
Extension
EASE FEE
208_90
______P _1__ ____________________________________________________
S ec'al Notes. and Comments
Conetsant n w 4 it fence along the
Property line on East tide to sidewalk.
Esther Parra
310-405-9691
Fee summary Charged Paid Credited
Due
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
Signature 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) TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE GRANTE (DENIED) Said permit shall expire on date stated above.
-'�i
Signature of City Engineer
Additional Terms on the Back
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection.
FULL NAME OF APPI
COMPLETE ADDRESS:
PHONE:
FAX:
CELL: ff�S A60 t,G
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
planter, etc.): .4 ' 14 IC 1- 0+71-f At 1-1 Oe r0AI ' G
PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER:
y `�J�7 (Please Circle)
CONTACT PERSON £e,4—A,,- / A-/LP�k 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, 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.
the expiration of the permit for which this application is made, if granted or
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 orexistence 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 amoant(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:NERMITSt NCROACRE.C..h.M Permit Req F.. DOC Sept. 2013
ENCROACHMENT PERMIT
o�wBA s
APPLICATION FORM
o
CITY OF BAKERSFIELD
�,
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
c9�IF0
BAKERSFIELD CA 93301
(661)326-3724 Fax: (661) 852-2012
l I Ll t9VE
LOCATION OF ENCROACHMENT(Address
required where available): P?L16
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection.
FULL NAME OF APPI
COMPLETE ADDRESS:
PHONE:
FAX:
CELL: ff�S A60 t,G
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
planter, etc.): .4 ' 14 IC 1- 0+71-f At 1-1 Oe r0AI ' G
PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER:
y `�J�7 (Please Circle)
CONTACT PERSON £e,4—A,,- / A-/LP�k 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, 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.
the expiration of the permit for which this application is made, if granted or
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 orexistence 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 amoant(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:NERMITSt NCROACRE.C..h.M Permit Req F.. DOC Sept. 2013
•
B A K E R S F E I E L D
Public Works Department
1501 TruMun Avenue
Bakersfield, California 93301
(661) 326-3724
TO WHOM IT MAY CONCERN
Vire the under319ned, have no objection to the construction of a fence beside the sidewalk within t,e
public right-of-way.
By; 19f lf�+F—Sfler
(Sucet or propose ercro¢chmenq wners erne
nr ID �IOS�r�i
;Address of proposed encroachment)
1 ) Name:
Date:
Address:
!cid
2.) Name:
_ ate'
Address:I"]
3.) Name:
Date
Atldress v
(icy ,4—�
4.) Name:
Date:
Address:
5.) Name:
Date:
Address:
5.) Name,
Date:
Address:
Client Number 700486 Policy Number: QHP1279544 Page 1 of 3
Homeowner Declaration
ESTHER PARRA - - - - Policy: QHP1279544
2401 JULIAN AVE Policy Period: 08/27/2013 to 08/272014
BAKERSFIELD, CA 93304 Your Premium Total is $853.00 for 12 Months
Effective Time: 12:01 A.M.
` Standard Time at the address of The Named Insured
Location 001 -2401 JULIAN. AVE,
BAKERSFIELD, CA, 93304 2401 JULIAN AVE BAKERSFIELD CA 93304
THIS POLICY DOES. NOT PROVIDE COVERAGE FOR WATER DAMAGE CAUSED BY FLOOD. DAMAGE CAUSED BY EARTHQUAKE
IS ONLY COVERED IF EARTHQUAKE APPEARS UNDER THE "ENDORSEMENTSIFORMS" SECTION WITH.A PREMIUM CHARGE.
POLICY INCLUDES COVERAGE FOR ORDINANCE OF LAW, OF UP TO 10% OF COVERAGE A LIMIT OF LIABILTV.
THE LIMIT OF LIABILITY FOR THIS STRUCTURE (COVERAGE A) IS BASED ON AN ESTIMATE OF THE COST TO REBUILD YOUR
HOME, INCLUDING AN APPROXIMATE COST FOR LABOR AND MATERIALS IN YOUR AREA, AND SPECIFIC INFORMATION THAT
YOU HAVE PROVIDED ABOUT YOUR HOME.
Section I
Your Agent is:
QBE Insurance Corporation
A
BANC OF AMERICA INSURANCE SERV - BAFXF
One General Drive
$903
P.O. BOX 10246
Sun Prairie, WI 53596
$26,300
MAIL CODE: CA6-183-02-11
C
Personal Property. Unscheduled
VAN NUYS, CA 91410
'$40
D
For Customer Service call: (866)318-2016
Homeowner Declaration
ESTHER PARRA - - - - Policy: QHP1279544
2401 JULIAN AVE Policy Period: 08/27/2013 to 08/272014
BAKERSFIELD, CA 93304 Your Premium Total is $853.00 for 12 Months
Effective Time: 12:01 A.M.
` Standard Time at the address of The Named Insured
Location 001 -2401 JULIAN. AVE,
BAKERSFIELD, CA, 93304 2401 JULIAN AVE BAKERSFIELD CA 93304
THIS POLICY DOES. NOT PROVIDE COVERAGE FOR WATER DAMAGE CAUSED BY FLOOD. DAMAGE CAUSED BY EARTHQUAKE
IS ONLY COVERED IF EARTHQUAKE APPEARS UNDER THE "ENDORSEMENTSIFORMS" SECTION WITH.A PREMIUM CHARGE.
POLICY INCLUDES COVERAGE FOR ORDINANCE OF LAW, OF UP TO 10% OF COVERAGE A LIMIT OF LIABILTV.
THE LIMIT OF LIABILITY FOR THIS STRUCTURE (COVERAGE A) IS BASED ON AN ESTIMATE OF THE COST TO REBUILD YOUR
HOME, INCLUDING AN APPROXIMATE COST FOR LABOR AND MATERIALS IN YOUR AREA, AND SPECIFIC INFORMATION THAT
YOU HAVE PROVIDED ABOUT YOUR HOME.
Section I
A
Dwelling
$263,000
$903
B
Other Structures
$26,300
INCL -
C
Personal Property. Unscheduled
$131,500
'$40
D
Loss of Use
$52,600
INCL
Section II
E
Personal Liability
$300,000 Each Occurrence
$105
F
- Mad cal Payments --
$1;000 Each Person
$11
Total Item Premium: $779
In case of a lass under Section I, we cover only that part of the loss over the deductible stated.
Deductible Section 1$1,000, except $1,000 applies to Windstorm or Hail.
These declarations, together with the coverage form(s), common policy conditions and forms, and endorsements, if any, issued to form a part.
thereof, complete the above numbered policy.
H05031(10111) created by XMRENEWASN 07/1L013 XMPRINT 07h2201320:4214T
B A IS 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: 2401 Julian Ave
Name of Applicant. Steven & Esther Parra
Description of Encroachment: Construct a new 4' chain link fence along
property line on East side to sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
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SAPERMITS\ENCROACRRRAFFIC@401 Julian Ave.doc
B/A/h 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: 2401 Julian Ave
Name of Applicant: Steven & Esther Parra
Description of Encroachment: Construct a new 4' chain link fence along
property line on East side to sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:�ERMITS\ENCROACMNSURANCEV401 Julian Av. d.