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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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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. 1'.-z-J.,�� �� .10C-(0 l Y 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: - Address: d .' K t 2fi7 Name: - C`�l',. ��-P,haO Date: a it h j fN Address 7J+f11{ Figs -AL -R /'. ss.7 Name: �=la...,'i--/ir ,. /�� , Date: Address:9�Ae 4-7 Name: Date: Address: 7_ b.) Name: rz�6/r7� (/���;l� Date;'7. V/": 1--�i f Address. .} Name: Date: Address: i 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: awyeluej iea.gS J J J ,09 � Ailn� $ WnJ gWna01S paeodwd m fiwian3 � j�3 n� iL W Q. I 'sem a #aPa z L.,J Z m co cnO p U o � � z U O O J awyeluej iea.gS J ,09 � Ailn� $ WnJ gWna01S paeodwd m fiwian3 � j�3 n� iL W Q. I 'sem a #aPa z L.,J Z m co o � 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