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Home My WebLink About2901 PARK WAYENCROACHMENT 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 . . . . 14-30000019 Date 3/12/14 Property Address 2901 PARK WAY Application type description PW - ENCROACHMENT PERMIT owner Contractor MALDONADO ROBERT S ISABELL OWNER 2901 PARK WY EARERSFIELD CA 93304 --------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional deac . . Phone Access Code . 1440080 Perrit Fee . . . . 206.00 Isave Data . . . . 3/12/14 Valuation 0 Qty Unit Charge Per Extension RASE FEE 208.00 --------------------------------------------------------------------------- Special Notes and Comments March 12, 2014 3:50:12 PM penriguez. 'Wrought iron fence around front of yard behind sidewalk per attached drawing. Contact Robert Maldonado (661) 323-3049 --------------------------------------------------------------------------- Fee summary Charged Paid Credited ----------------- Due ---------- ---------- ---------- ---------- Permit Fee Total 208.00. 206.00 .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 v6kq the permit at any time � 1 ignature 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) CO TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE RANTS ) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT l APPLICATION FORM CITY OF BAKERSFIELD 1 PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)326-3724 Fax:(661)852-2012 LOCATION OF ENCROACHMENT(Address required where available): 2 901 P&r k W&Y ay?r 5f, � d Ca_ -7.33o,4 If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT Q rId dO n 6z COMPLETE ADDRESS: Z/J 0 w �a PHONE: O G l- 3 2- 3 -3o t12 6,,Le,s-Pt (d 330 FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood wrough/t� iron fence, oncrete block wall, raised planter, etc.): r wat.�'%" rp b0I 1d a. wrooA fTrpn 4'eACr I P rreh+- PERIOD OF TIME FOR EN�CROA�,tCHMENT INDEFINITE r OTHER: CONTACT PERSON 4 bik- I�- I r `Vd dr1 /l 4 d. PHONE: 3 -2-3 - 30 y r/ 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 the revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public 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. me: 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 TERMITSt CROACREnrsoachment PeanitReq roan DOC Sept 2033 B A K E R S 8 I 6 L D Public Works Department 1501 Truxtun Avenue Bakersfield, Oelifomia 83301 (661)326-3724 TO WHOM IT MAY CONCERN Are the undersigneo, have no objection to the construction of a fence beside the sidewalk within t'e public right-of-way. psi �L j l/ ii0��AWA-A44 vicel for proposed encronc mentj� By wnera erne or 2-90 / rn„„e: (Address of proposed enaronchmenp 2) Name: N; l a mor -ate Address: Q!, oo Or'f Wn U 3.) Name:—v-1rP'7 �r r J'10Y�i1�� Address: 2Ca '� A-/, 4.) NameQa�> rl Address: — ::2+01\-- o" 5.) Name: Address: 5.) Name. Address: Date: 42S_ D e: —` I/ Date: z Zi' L�_ Date: Evidence of Insurance for Mortgagee/Other Interests Jak F A R M E R S 'Phis form isnot the contract of insurance. It is a memorandum of coverage limited to mortgagee/other interests, provided at their request and applicable to the dwell Ing or building at the location below. The provisions of the 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 R0BER'IMALDONADO AND ISABEL MALDONADO Mailing Address 2901 PARKWAY BAKERSFIELD CA 93304-1024 Property Address 2901 PARK WAY BAKERSFIELD CA 93304-1024 Polity Information Policy Number 975565600 Company Name FIRE INSURANCE EXCHANGE Policy Type NEXT GENERATION HOMEOWNERS Policy Status IN FORCE Policy Term Effective Date 03/06/2014 Renewal Date 03/06/2015. Annual Premium 768.18 Balance Due $00A0 Agent Information Name DEREK OUTWARD LOCKE Address 4639 PLANZ RD BAKERSFIELD CA 93309-5900 Phone 661-834-0379 Fax 661-834-0303 Email dlockeI o@farmersagent rn, Coverage Information Coverage Limit Dwelling $149.000 Extended Replacement Cost $37,250 Personal. Property $111,750 Personal Liability $300,000 Deductible applicable to each covered loss: $500 First Mortgagee Loan. Number 1222034900 Who Pays MORTGAGFI= EVERHOME MORTGAGE A DIV OF EVERBANK Mortgagee Effective Date 03/062014 ISAOA PO BOX 620138 DORAVILLE GA 3 03 62-013 8 Second Mortgagee/Other Interest No .Additional MmtuagccOUOther Interest(s) available Loan Number Mortgagee Effective Date Mortgagee Deductible Clause For any loss in which only the mortgagee's interest is adjusted and settled, not including any interestyou may have in the property or loss, the applicable deductible will be the smallest of thefollowing amounts: I. The deductible stated in the declarations or renewal notice, or 2.$1.000 the policy deduetibleytated in the declarations or renewal notice will apply to settlement of any interest you may have in the property or It), 438BFUNS Endorsement Included Y 451960 411 Print Date: 03/0612014 ��]��Pyre��sident LIY � Auihorhed Farmers Representative 0 55a-( J9 SS:+Y No "9/ 0 V )1 yZII // t pp Ss ar JO$ fj i �7Lt'd� I �M I a50lIOJ 1 s 4 y w s d v L i �tlroM -�uaw�o �j H I ��Q s v )1 yZII // t pp Ss ar JO$ fj i �7Lt'd� I �M I a50lIOJ 1 s 4 T6452-3 2q ark wa}� and M+��' )V�hvr�Ari� to fenoLn� a� this home cue 66 t11 ron rh ek,-f- a -/I Q l '� r`s 0 k to �n sYzd) i-�2��cL' be,-Fwe-ei� �5/ an ttie Pry®er�y /ink. bzf�,9e.en avr p u� l7-er �- Ck"11 �0 2 y , 0 3/6/2014 B =1 k E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: March 13, 2014 SUBJECT: Encroachment Permit Application for: 2901 Park Way Name of Applicant: Robert & Isabel/ Maldonado Description of Encroachment: 4' high wrought iron fence around the front of yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S: WERMITMNCROACHURAFFIC@901 Park Way.dx B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manage FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 13, 2014 SUBJECT: Encroachment Permit Application for: 2901 Park Way Name of Applicant: Robert & Isabell Maldonado Description of Encroachment: 4' high wrought iron fence around the front of house behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: WERMITSENCROACHUNSURANCE\2901 Park Way.doc