Loading...
HomeMy WebLinkAbout5809 EL CAMINO AVEENCROACHMENT PERMIT F " CITY OF BAKERSFIELD v d PUBLIC WORKS DEPARTMENT .� 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO 1 (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 . . . . . 14-30000023 Date 3/21/14 Property Address 5809 EL CAMINO AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor -------"--------"------- ------------------------ PEREZ MANUEL V 6 =1A O OWNER 5609 EL CAMINO AV BAKERSFIELD CA 93313 ---------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional seen . Phone Access Code 14441/3 Permit Fee 208.00 I99ne Date 3/21/14 Valuation . . . . 0 Qty Unit Charge Per Extension EASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments March 21, 2014 1:07:51 PM psnriq sr. Exiating 3'4" high white picket fence ound front yard behind sidewalk. Contact Manuel Perez (661) 330-8966 ------------------------------"-""_---------------------------" Fee e.ary Charged Paid Credited ---------- ---------.- 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 ode Chapter 12.20 to revoke the permit at any firrip. Signature of Applicanf (Owne r/ rt) 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 NTE ) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back of BAKl,, ENCROACHMENT PERMIT .3 .. t . ro V� APPLICATION FORMI �I — 1 f CITY fY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT m :.o 1501 TRUXTUN AVE �lI uR" BAKERSFIELU CA 93301. f661}3M-3724 Fax 16611852-2012 C I LOCATION OF EiVCROACHh1ENT(Address required where available): If there is no address adjacent to work describe limits of work by distances from nearest existing;-treet intersection. FULL NAME OF APPLICANT COMPLETE. ADDRESS: 5i . _r _ (� YY ///U PHONE: (v(p(—� e. CELL: —4Y/= 33d7�96 (0 PROJECT INFORMATION $NT (Example: Wood or wrrou ht into fence. concrete block wall, raised ✓I Lr P_ J'-- 3 T F 7. dI._ %p, . ,-Q to PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) CONTACTPERSONPHONE: Applicant agrees thatif 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, or judicial 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 eneroachment 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. or right of way where the sane is located and restore said public property or right of wav to the condition as as. that in which it was before the placing, erection, maintenance or existence of said eneroschmcnt. 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 Cvdiiicate 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 $300.0[[0.00 Commercial Commercial Liability coverage in an amount of at least $ 1,000,000-00 Encroachment Permit Fee: $208.00 SAPLRMl7 Sq NCROACH\Eneroachment Permit Req l-mm.DOC January 2009 - 6 A I: E R S F 1 E L D Public Work, Department 1501 Trurtun Avenue Bakersfeld,. California 93301 (881)326-3724 TO WHOM IT MAY CONCERN: We the urderslgned, have no objection to the construction of a fence hesltle the Sidewalk within t')e public nqN-of-way. (y[`ce! for prc osc3 Cna�oochme p wn rz N2 Gw Vic- X -1e. (Address of proposcd enerormhmecs) ;.) Name: 2.) Name: Address 3.) Name: Address. 4.) (Jame: Address 5.) Name: Address: B.) Nacre: Address 3l3 Date:' J ' 7c7 1LJ '4 ✓� 3l3 e Date s Date: Date: ENDORSEMENT NO. 03 PAGE 1 MCGRAW INSURANCE SERVICES PacificSpecialty.com P.O. BOX 40 ANAHEIM, CA 92815-0040 (800)303-5000 PACIFIC SPECIALTY INSURANCE COMPANY (BEST RATED A ADMITTED) 1I ENG 0515749-00 N NAMED INSURED AND ADDRESS PRODUCER: B29984 (661)328-9250 PEREZ MANUEL V RAMSEY JANETTE F PEREZ, LYDIA O 7737 MEANY, 3 MANUEL V. PEREZ AND LYDIA 0. PEREZ, BAKERSFIELD, CA 93308 HUSBAND AND WIFE AS JOINT TENANTS 5809 EL CAMINO AVE BAKERSFIELD, CA 93313 CALIFORNIA - HO -3 PERSONAL HOMEOWNERS *** ENDORSEMENT OF DECLARATIONS *** ENDORSEMENT EFFECTIVE DATE: 02/14/2014 POLICY NO: ENG 0515749-00. POLICY TERM.: 10/09/2013 TO 10/09/2014 12:01 A.M. STANDARD TIME AT THE ADDRESS OF NAMED INSURED AS STATED HEREIN. THE ABOVE POLICY HAS BEEN ENDORSED FOR THE FOLLOWING REASONS: 18 - ADDITION/CORRECTION OF LOSS PAYEE/LIENHOLDER/MORTGAGEE INFORMATION PROGRAM: HO -3 COVERED PROPERTIES # OCCUPANCY USE # UNITS YEAR ROOF CONSTRUCTION # STORIES ROOF YR 1 OWNR PRIM 1 1986 WOOD STUC 2 STORIES 1986 SQUARE FEET 1,682 (SEE BELOW) FIRE EXTINGUISHER: Y FEET TO HYDRANT : 100 PROPERTY ADDRESS: 5809 EL CAMINO AVE BAKERSFIELD COUNTY: KERN MORTGAGEE: ROUNDPOINT MORTGAGE SERVICING CORP. ISAOA/ATIMA PO BOX 39575 SOLON LOAN #: 2000362638 COVERAGE(S): * DED, UNLESS SPECIAL DED. BELOW $1,000 DEDUCTIBLE A DWELLING $233,000 LIMIT INSURED 02/14/2014: 20:26:43 CA 93313 OR 44139 PREMIUM INC 580.00 PROCESS DATE: 02/14/2014 • B A R E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor ll, Subdivisions DATE: March 26, 2014 SUBJECT: Encroachment Permit Application for: 5809 EI Camino Ave Name of Applicant: Manuel & Lydia Perez Description of Encroachment Existing 34" high white picket fence around front yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\TRAFFIC\5809 EI Camino Ave.dm • Iy E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager jj FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 26, 2014 SUBJECT: Encroachment Permit Application for: 5808 EI Camino Ave Name of Applicant: Manuel & Lydia Perez Description of Encroachment: Existing 34"high white picket fence around front yard behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. EI Camino Ave.doc