HomeMy WebLinkAbout1216 BACHELOR STENCROACHMENT 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 . . . . . 14-30000013 Date 3/03/14
Property Address 1216 BACHELOR ET
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
________________________ ___________________-_-_-
MARTINEZ PAUL A MARIA INES OWNER
1216 BACHELOR ST
BAKERSFIELD CA 93307
________________________________________________>______._______
Permit . . . ENCROACHMENT PERMIT
Additional date .
Phone Access Code 1435148
Permit Fee . . . 208.00
Iaeue Date . . . 3/03/14 ValUati on
Qty Unit Charge Per 8nten6lon
BASE FEE 208.00
___________________________________________________
Special Notes and Comments
Relocate 6 £t fence to back of sidewalk
behind face of building along side
street (Wisnant).
Mar
61-8tl9-8971
Credited
Due
____Charge____
----
Charged
Permit Fee. Total
208.08
Grand. Total
206.80
----------------------------------------
Paid
Credited
Due
----208
00
---------- --------00
208.00
.00
.80
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time.
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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE RANTS (DENIED) Said permit shall expire on date stated above.
Signature Engineer `
Additional Terms on the Back
BA xE ENCROACHMENT PERMIT
o��,geaea„QRS
APPLICATION FORM
v Cy CITY OF BAKERSFIELD
� PUBLIC WORKS DEPARTMENT
t501 TRUXTUN AVE
LIFO BAKERSFIELD CA 93301
(661)326-3724 Fax: (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
COMPLETE ADDRESS: J a,J
2 -
PHONE: /o(ol— �3L�Iy3
6Y11��rfP(� !ifs— LJ�y6-% FAX:
CELL:
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
planter, etc.): I. )60A
PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER:
� A (Please Circle)
,CONTACT PERSON �3t M Ci 117 P2 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 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,
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 famish 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?PER ITTSTNCROACMEncroachment Permit Req Form. OC Sept. 2013
•
---
B A K B R S F i E L D
Public Works Department
1501 Trumn Avenue
eakers6ekl, California 93301
(661) 3263724
TO WHOM IT MAY CONCERN
We the undersigned, have no objectmn tothe construction of a fence beside the sidewalk within tie
public right-of-way.
Strcel o: proposed er,[roathmertt� (wner5 Name)
acme 66/ - 93 Lt 1 ��
.;Address of pmooxed tnwoechnenq
1:.) tJame:
Address:
1�r
..& I�
Date: 7-26- ILI
Daten 2--QK_%�
DaW
Date: Q,
Date:
Date:
Evidence of Insurance for Mortgagee/Other Interests _ j FARM E RS
This form is not the contract of insurance. It is a memorandum of coverage limited to mortgagee/other interests, provided at their request and
applicable to the dwelling or building at the location below. The provisions ofthe policy will prevail in all respects. This certificate of
insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy. Should the insurance
policy be cancelled by the company before the expiration date thereof, notice will be given in accordance with the policy provisions.
Insured Information
Named Insured
RAUL MARTINEZ
Mailing Address
1216 BACHELOR ST
BAKERSFIELD CA 93307-7348
Property Address.
1216 BACHELOR ST
BAKERSFIELD CA 93307-7348
Policy Information
Policy Number 929953295
Company Name FIRE INSURANCE EXCHANGE
Policy Type NEXT GENERATION HOMEOWNERS
Policy Status IN FORCE
Coverage
Policy Term Effective Date
03/202013
Renewal Date
0320/2014
Annual Premium
528.68
Balance Due
$578.61
Agent Information
Name MAXIMO G SANCHEZ
Address 4300.W1BLE RD STE H
BAKERSFIELD CA 933 13-2 626
Phone 661-834-7300 Fax 661-834-7400
Email raxmcheznfannersagentcom
Coverage Information
Coverage
Limit
Dwelling
$229,000
Extended Replacement Cost
$57250
Personal Property
$171,750
Personal Liability
$300,000
Deductible applicable to each covered loss:
$1,000
First Mortgagee Loan Number 0259680106 Who Pays MORTGAGEE
WELLS FARGO BANK NA 4708 Mortgagee Effective Date 03/04/2011
ISAOA ATIMA
PO BOX 5708
SPRINGFIELD. OF 45501-5708
Second Mortgagee/Other Interest
No Additional Mor gagee(sbOther Interest(s) available
Loan Number
Mortgagee Effective Data
Mortgagee Deductible Clause
For any loss in which only the mortgagees interest is adjusted and settled, not including any interest you may have in the property, or loss, the
applicable deductible will be the smallest of the followinganount%:
I. The deductible stated in the declarations or renewal notice. or
2.$1.000
The policy deductible stated in the declarations or renewal notiw will apply to settlement of any interest you may have in the property or loss
President
438BFUNS Endorsement Included Y
25N60 492 Print Date: 02/27/2014
Authorized Farmers Representative
J
�\
J
g
cr—
S
O
O
q
0o O
U
� e e
�m
qz
�o
0
J
�—
—�
j
q
O
muro s wro
YlaxaG!$ Gesadoy n 6upN+3-
_
� I
alp
yp
O
_
i O2
((qyy
�
-�aq$
.ae.E
W
O
z
w
W
LL-
zs
q
O
O
n � >•�' E G S F A E L �
Publio Works 0epa,,,ent
1501 TNXIun Avenue
Bakersfield, Calibrnia 93301
(661)328-3724
ENCROACHMENT PERMIT REQUIREMENTS
Application
2. Permit Fee of $208.00
3 Drawing; Minimum 8 112 x 11 showing encroachment on lot in relation to thr
existing curb, gutter and sidewalk, alongwith distances from curb, gutter and
sidewalk to the encroachment. Drawing to include curb, gutter and sidewalF and
any additional information that may assist the City in making a determination as to
yourrequest.
9. Type and Amount of Insurance Coverage for fence installation or constructian for
A. Residences
Homeowners General Liability coverage in an amount of at least $3G0.000.00
B Co mar al
Com tial General Liability cove e i amount of at least S1,00.000 OC
2 Ad)K1ional I sured Vq�kiage (For Commercial)
A. e Cit of akers field, its m r, council, employee d volunteers
Y
ar dded saddi onalinsured's respect to
P
Le.. t. all
of a chain link fence a
S �knvoxcnnmmPemnspnsa aaceReeairements
R— `"7 � a
W
�_ Com,
yy�
�,
^✓.
`2
f;
�r
_3
S
i �, �
_
R— `"7 � a
W
�_ Com,
yy�
�,
^✓.
`2
f;
�r
_3
S
B A I- E L2 S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
John Ussery, Engineer II
-(r-rtfiijC_
FROM:
Bob Wilson, Supervisor II, Subdivisions
CoNGE�CfgEy
DATE:
March 4, 2014
SUBJECT:
Encroachment Permit Application for:
1216 Bachelor St
Name of Applicant:
Raul & Maria Martinez
Description of Encroachment:
Relocate 6' fence to back of sidewalk
behind face of house along side street.
Please review the attached encroachment permit and return to me at your earliest convenience.
6•�
/�S �(L Rs
-(r-rtfiijC_
Age
CoNGE�CfgEy
CFC-T�Icu t5 6�B" FKaw FOWL-wr Ecey,
516'11T' WAV IS 0"L'
S:\PERMITS\ENCROACH\TRAFFIC\1216 Bachelor St.dac
B 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: 1216 Bachelor St
Name of Applicant: Raul & Maria Martinez
Description of Encroachment: Relocate 6' fence to back of sidewalk
behind face of house along side street.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMRSIENCROACNVNSURANCE\1216 Bachelor SLCoc