HomeMy WebLinkAbout2401 ARLANA STBA ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
v d PUBLIC WORKS DEPARTMENT
�, 1501 TRUXTUN AVE
.q" ® BAKERSFIELD CA 93301
c9LIFn (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 . . . . 14-30000016 Date 3/11/14
Property Address 2401 ARIANA ST
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
GUTIERREZ ROSA OWNER
2401 ARLANA ST
BAKERSFIELD CA 93304
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Permit ENCROACHMENT PERMIT
AdditiOnal deSC . .
Phone Access Code 1439159
Permit Fee 208.00
I69ne Date 3/11/14 ValL tion
. . . . 0
pry Unit Charge Per
Nateneion
EASE FEE
208.00
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S,ecial Notes and Comments
Construct new wroght iron fence along
sidewalk.
Rosa Gutieres
301.L368 �dJ/
Fee summary Charged Paid Credited Due
Permit Fee Total 208.00 208.00
00 .00
Grand Total 206.00 208.00
.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.
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Signature of Applicant
(Owner ent)
_T/
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) CON TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THERE\FORE RANTED (DENIED) Said permit shall expire on date stated above.
,V
Signature of City Engineer
Additional Terms on the Back
BA ENCROACHMENT PERMIT
F APPLICATION FORM
rj o CITY OF BAKERSFIELD
� PUBLIC WORKS DEPARTMENT
C �x„" v® 1501 TRUXTUN AVE
LIFB 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.
APPLICANT INFORMATION
FULL NAME OF
COMPLETE ADDRESS: 7U1A A-rlcyn C} S1'+ PHONE:
FAX: �
CELL: (ULI`0 361 - S (n Z -i
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
planter, etc.): to YAi^"1 iru n . N ce
PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER:
n „ (Please Circle)
CONTACTPERSON /LA �t,��,�f''. PHONE: LLSd t�S
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, if granted or upon tt
revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public
property or richt of way where the same is located, andrestore 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. Thetype(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:TERA1 TSS CROACH1Enaow1=cnt Permit Req Foran DOC Sept. 2013
B A K E R S F I E L D
Public Works Department
1501 TruMun Avenue
Bakersfield, California 93301
(661) 326-3724
TO WHOM IT MAY CONCERN
We the undersigned, have no objection to the construction of a fence beside the sidewalk within tie
public right -of --'Nay.
Alf", ,- B
±; (� i ii>
(Svcm .o: proposed ercroachmen0 (wners kerne)
(A
(nddress or proposed encro[iehmmit)
SIGNED
4 Name: U. aj7civ IA' a:.�[
Date:
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Address: d .' K t
2fi7 Name: - C`�l',. ��-P,haO
Date: a it h j fN
Address 7J+f11{ Figs -AL -R
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Date:
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4-7 Name:
Date:
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b.) Name: rz�6/r7� (/���;l�
Date;'7. V/": 1--�i
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.} Name:
Date:
Address:
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2014.03.27 12:02 AM 16618361464 PAGE. 2/ 2
6a6den Bear insurance Company
PMT OPFME eoX 271
$1`00 M14, CALIFORNIA 05201
Renewal
Effective Date: March 17, 2014
Reason: Homeowners Renewal Offer
HOMEOWNERS POLICY DECLARATIONS
Policy Number: GBHO11455-03
Policy period. From March 17, 2014 to March 17, 2015 Policy period begins 12:01 A.M. standard time
at the residence premises,
ed Insured & Mailing Address Agent (Code: 93136)
Gutierrez MCA Insurance Services
Adana Street 1731 Hasti-Acres Road, Suite 205
rsfield, CA 93304 Bakersfield,CA 93309
(661)833-0300
tion of residence premises: 2401 Arlene Street, Bakersfield, CA USA 93304
II provido Ibe insumnw dacnbed in Uspolic, in mlum for de p smium and compliance with all applicpNe policy provisions.
SECTION I COVERAGES
Limltsof LiebOity Premium
A - Dwelling
$209,670 $538.00
B- Other Structures
$20,967
C- Personal Property
.5104,835
D- Loss Of Use
$91,934
Fire Department Service. Charge
Inflation Guard
The limit of liability for Coverage A is based on an
estimate of the cost to rebuild your hone, including an approximate cost
of labor and materials in your men, and specific information that you have provided on your home.
Section 1 Deductible: $1,000
In case of lass under Section 1, we cover only that part ofthe lass over the deductible amount shown above.
SECTION 11 COVERAGES
Limits of Liability Premium
E- Personal Liability
$300,000 $20.00
F. Medical Payment To Others
$1,000
Workers' Compensation - Residence Employees -
California
Animal Liability - Exclusion
($20.00)
SCHEDULED PERSONAL PROPERTY
Limits of Liability Premium.
Not Applicable
TOTAL POLICY PREMIUM: $538.00
TRANSACTION PREMIUM: 5538:00
Poll,, Prenduor indicated above has taken Into accounffke followhig deleted coverages:
Coverage Expiration Date Premium
Not Applicable
Hating Information:
Year Built; 1983 Number OTFamilies: l Structure: 0xvcilfing I Construction: Fra
Fire Prcosaiun:3 1Fire H dmar over IOOO rt: No Terrhar :246 Orcu a :Owner(Rimarv' Residence
Your total premium has taken into consideration the following credits/surcharges:
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B K E c 5 p t E L O
Roti Works Department
1501 Tromso- Menu,
Ba rs eI ,. all a 93301
(881)328-377 24
ENCROACHMENT PERMIT REQUIREMENTS
1 Application
2 Permit Gee f $208.00
a Drawing; Minimum 8 112 x 11 showing encroachment on lot in relation to thn
existing curb, gutter and sidewalk, along with distances from curb, gutter and
sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and
any additional information that may assist the City in making a determination as to
yourrequest.
a Type and Amount of Insurance Coverage for fence installation or constructiDn for
A- Residences
Homeowners General Liability coverage in an amount of at Is t $300.000.00
6 Commercial
Commercial General Liability coverage in an amount of at least S1.00,000 00
2 Additional insured Verbiage (For Commercial)
The City of Bakersfield, its mayor, council, employees, agents and volunteers
are added as additional insured's with respect to
(i.ethe installation of a chain link fence at 1501 Truxtun Ave.).
S LLn<roaammn,Pem,asl���5uranwacauiremens
•
B A- R 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 28, 2014
SUBJECT: Encroachment Permit Application for: 2401 Arlana St
Name of Applicant: Rosa Gutierrez
Description of Encroachment: Existing 4' high wrought iron fence behind
sidewalk in front of house.
Please review the attached encroachment permit and return to me at your earliest convenience.
MSF
S:\PERMITS\ENCROACH\TRAFFICU401 Ariana Stdoc
•
B ?. 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 28, 2014
SUBJECT:
Encroachment Permit Application for: 2401 Arlana St
Name of Applicant Rosa Gutierrez
Description of Encroachment: Existing 4' high wrought iron fence behind
sidewalk in front of house.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S: IPERMITSIENCROACMNSURPACEV401 Arlana Stdoc