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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