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HomeMy WebLinkAbout1212 EUBANKS AVEENCROACHMENT 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 Numbst . . . . . 14-30000020 are 3/10/14 Property Address 1212 EUEANKS AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor HERNANDEZ NOELIA OWNER 1212 EUBANKS AV BAKERSFIELD CA 93307 ---------------------------------------------------------------------------- Permit ENCROACHMENT PERMIT Additional desC . . Phone Access Code . 1441203 Permit Fee . . . . 208.80 Issue Date . . . . 3/17/14 Valuation 0 Qty Unit Charge Per Extension EASE FEE 208.00 ----------------------------------------------------------------------- Special Notes and Comments March 17, 2014 11:37:48 AM penriquez. 6' high block wall starting behind face of house and going around aide yard behind sidewalk. Contact Scalia Hernandez (661) 205-0612 Fee summary Charged Paid Credited v___________ __________ __________ Due ____ __________ __________ Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .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. ---a��ovr0. Signature of A00cant (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) CON TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE PRANTE(DENIED) Said permit shall expire on date stated above. ti`. \1Ocu� Signature of City Engineer Additional Terms on the Back o�awvo„s ENCROACHMENT PERMIT �' APPLICATION FORM d CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT C y 1501 TRUXTUN AVE IPO BAKERSFIELD CA 93301 (661)326-3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): tknf dl a. cG X330-, 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: 1�.(-L Lv i�c,�.,�z.S f Vl — PHONE: Pry kxf s j" e 1 A C x cv330::t FAX: CELL: DESCRIPTION bOF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: 1 (Please Circle) CONTACTPERSON Jy'tb��r. Px vv�o�_�_ PHONE: �oytaOS-D(o�a. 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 requited 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. 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 mount 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 TER 1TSTNCR0ACH\Encmwhmmt Pmmit Req Fnan WC Sept. 2013 6 A K E R S E l E L D Publio Works Department 1501 Truxlun Avenue Bakersfield, California 83901 (661) 326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no obje0tion to the mnstruckm of a fence beside the sidewalk within the public right-of-way. CA.p „na----.s �_�VrL By: 1 -t QAC, \At r npk r .�.V�7— rrce rpropoSe angrgaCMnenlj (Ownfrs Name nr 12.11. X, t<(a6l� (Addmc of pmoosed eneroechmeni) SIGNED: 1;) Name. Address: 2-) Name: IAT•n r�iv Afq.v���r, Address: (� ya4 2F�L,n.ApY 3.) Name: %n . ,� ro, Address:6.1/ ' F�tL gds 4.) Name: (l Address: 5.) Name: )PS VS ISalt+,ntY Address; AvF Address' Di Date: 031011 g Date: 63- 03- a Date: Date. /p / Date: 3/—/ o & C f SPECIAL FORM DWELLING FIRE FIRE INSURANCE EXCHANGE, LOS ANGELES, CALIFORNIA A Reciprocal Company Repktes oR Prim Ir demf ist, R ary TRANSACTION TYPE: OFFER OF RENEWAL PoO(YNONRER PoINYPERgO'•'.� ___ r...r....t ,,,,,,,,,,,,,, PROPERTY LIABILITY (OPTIONAL) A DW[UIIIG DR FRON: SE12:0I1 B -FAIR RENTAL 93707-03-25 01-07-2014 0 01-07-2015 12:91 A.M. 01 inls PWry will WNnlme for suuessive successive n.I oeuod as .P—i—d NOELIA HERNANDEZ 1212 EUBANKS AVE BAKERSFIELD CA 93306 .EE Xas g`4ROVP„ ISSUING OFFICE: 23175 DTWBennett St. Hillsboro, OR 97124 If" (1) we elect to continue this Pusurence, and (2) if you pay the renewal premium for each ms, rules and forms III. in effecc LOCATION OR DBUIPTION Of PROPERTY MARTIN FSmaroaaa Imeod4arsn al: . wl YRROF(OXSMC(IION OIRSTIRINNIYPE ':.. _. 0(NPAR(Y 1988 FRAPYE 1 OR 2 FAMILY DWELLING NON -OWNER OCCUPIED COVERAGES- We aroeide v— —1,, r- .F...a ....._.,.n .:....:....... 1. ---------- PROPERTY ____-_,. o other cetnls of the policy. CountersigsamrCCCe---'''��l AGENT:MAXIMO G. SANCHEZCI 7� AGENTPNONE: (661) 834-7300 AGENTNUMBER: 95-41-365 /1 Authorord Represcract. 56-5103 NN EDNON IOII 93707-03-25 (Coutintred on Reverre Side)11-14-2013 (5103811 PROPERTY LIABILITY (OPTIONAL) A DW[UIIIG DR B DINER C -PERSONAL B -FAIR RENTAL E-ADNEIGIAI WING -PERSONAL F-MEDIfAI PAY MOAIIF NOME SBU(NR(S PROPERTY VALUE EXPENSES OABILITY TO OTHERS $214,000 $21,400 $25,000 $21,400 $21,400 $100,000 $500 huh(museas fish Peu.I PERILS INSURED AGAINST/COVERAGES PROVIDED PRENNIf FIRE AND LIGHTNING 449. SPECIAL FORM PERILS $ Ei PERSONAL LIABILITY $ 247.43 $ 36.92 TOTAL PREIRIUM. $ 739.21 OWRSEMENT Wom fDUNNpNUR ENDORSEMENT REUIPTION DP3 9-83 DWELLING FIRE - SPECIAL FORM CA033 IED ENDORSEMENT AMENDING CONDITIONS CA035 IED AMENDED LOSS SETTLEMENT CONDITIONS CA042 IED ENDORSEMENT AMENDING OTHER COVERAGES & GENERAL EXCLUSIONS CA047 IED ENDORSEMENT AMENDING - CONDITIONS (DPI, DP2 AND DP3) DP300 3-88 DWELLING FIRE - SPECIAL STATE PROVISIONS .IMPORTANT NOTICE ADDITIONAL ENDORSEMENTS SEE E0052 DISCOUNTS EXPERIENCE RATING PLAN DISCOUNT HAS BEEN APPLIED TO YOUR POLICY. DEDUCTIBLES POLICY ACTIVITY $1,000 Deductible is applicable to covered losses. $ Previous Balance 734.21 Premium Am.....IAUmR 01 Fees* REN S7 NO0 IES "LL GASuiaM1age VY APPDN IN -As NIX( Pun' "IIVR ts Paymenor Credits SIXio"REBPoN sm" $ Total` MORTGAGEE PAYS 'SEEADDITIONAL FEE INFORMATION BELOW This Declarations page is part of your policy. It supersedes and o other cetnls of the policy. CountersigsamrCCCe---'''��l AGENT:MAXIMO G. SANCHEZCI 7� AGENTPNONE: (661) 834-7300 AGENTNUMBER: 95-41-365 /1 Authorord Represcract. 56-5103 NN EDNON IOII 93707-03-25 (Coutintred on Reverre Side)11-14-2013 (5103811 ;� S 1 U �_ • B A1-: E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager V FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 26, 2014 SUBJECT: Encroachment Permit Application for: 1212 Eubanks Ave Name of Applicant: Noelia Hernandez Description of Encroachment: 6' high block wall starting behind face of house and going around side yard behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:NERMITS\ENCROACHMNSURANCE\1212 Eubanks Ave.dm • B A IS 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 26, 2014 SUBJECT: Encroachment Permit Application for: 1212 Eubanks Ave Name of Applicant: Noelia Hernandez Description of Encroachment: 6' high block wall starting behind face of house and going around side yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S TERMITSIENCROAMTRAFFICN 212 Eubanks Ave.tlac