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HomeMy WebLinkAbout1211 CATES ST8AK ENCROACHMENT PERMIT CITY OF BAKERSFIELD v t7 PUBLIC WORKS DEPARTMENT 4 1501 TRUXTUN AVE BAKERSFIELD CA 93301 C y/FO (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 14-30000027 nate 4/26/14 Property Address 1211 CATES ST Application type description. PW - ENCAOACMENT PERMIT Owner Contractor ________________________ __ _______________ AGUILERA JOAN & ANITA OWNER 1007 EERAYESSA CT BANERSFIELN CA 93307 Permit ENCROACNNENT PERMIT Additional desc . . Phone Access Code . 1453505 Permit Fee . . . . .00 Issue Date . . . . 4/28/14 Valuation 0 Special Notes and Comments Existing 4.' high wrought it. Pence st back of sidewalk. Contact person: Jusn Aguilera 833-8895 _________________________________________________________..____ Fee summary Cnarged Paid Credited Due _________________ ---------- ----- pe rmit ____Permit Fee Total .00 .00 .00 .00 Gland Total .00 .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. Signature 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 E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS R�FORE THE(DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back eax� ENCROACHMENT PERMIT pi�erou,� s APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE ® BAKERSFIELD CA 93301 I 0 (667)3263724 Fax:(661)952-2012 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 APPI COMPLETE ADDRESS: PHONE: G FAX: CELL: CG/ PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example:. Wood or wrought iron fence, concrete block wall, raised planter,. etc.): T he fend 'c 0 rn l PERIOD OF TIME FOR ENCROACHME INDEFINIT or OTHER: se-umle) CONTACT PERSON l L��f- q I 1 �� LL! ` e!—E PHONE: '�`3 3' 7 L 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, or judicial tribunals of any kind whatsoever; arising out of. connected with, or caused by applicant's placement, erection, use (by applicant or any otherperson 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 property or right of way where the same is located, and restore saidpublic property or right of way to the commuon 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 endorwinents evidencing. the insurance required.The type(&) 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 Encroachment Permit Fee: $208.00 S:IPERMITS\ENCROACH\Encroachment Permit Req Form.DOC January 2009 H A K E R S F IEH LL D Public Works Department 1501 Trurtun 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 the public fight -of -way. acct for proposed encroachment) wnen amn) of Ph... (Aiklmss of proposed cncroachnnent) 1. Name: vt/ - Q [n �L Date: Address: IV S B - tc. r la " c� 2. Name: r n n K Date'. Address:/�n�/�'"� 3.1 Name: 77Qa oy; tc "y- Date Address: 1� U Pie+\ 4.) Name 1C- tA-U VQ=14 Date:-// 2 1U Address: d)nl \1.1 tGn 5.) Name: Date: Address: 6.) Name: Date: Address: Evidence of Insurance for Mortgagee/Other Interests F A R M E R S This form is not the contract of insurance. It is a memorandum of coverage limited to mortgagee/other interests, provided at their request and applicableto the dwelling 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 thepolicy provisions. Insured Information Named Insured JUAN AGUILERA Mailing Address 1007 BERRYESSA CT BAKERSFIELD CA 93307-7292 Property Address 1211 CATES ST BAKERSFTELD CA 93307-7349 Policy Information Policy Number 941593310 Company Name FIRE INSURANCE EXCHANGE PolicyType LANDLORD PROTECTOR Policy Status IN FORCE Coverage Policy Terru.Effective Data 04/05/2014 Renewal Date 04/05/2015 Annual Premium 461.51 Balance Due Personal Liability First Mortgagee Second Mortgagee/Other Interest Mortgagee Deductible Clause Not Applicable Agent Information Name KYLE ATCHLEY Address 3801 MOUNT VERNON AVE BAKERSFI ELD CA 93306-1442 Phone 661-872-9503 Fax 661-872-8226 Email katchley@fimmusagent.com Coverage Information Coverage Limit Dwelling $155,000 Extended Replacement Cost. NONE Personal Property $7,750 Personal Liability $1,000,000 Deductible applicable to each covered loss: $1,000 Loan Number Who Pay. Mortgagee Effective Date Loan Number Mortgagee Effective Date Prm�W`�Aa�M�Q� • ------------ T- E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager `�- FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 26, 2014 SUBJECT: Encroachment Permit Application for: 1211 Cates St Name of Applicant: Juan Aguilera Description of Encroachment: 4' high wrought iron fence behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACHVNSURANCE\1211 Cates St.d. i Y h E it F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 28, 2014 SUBJECT: Encroachment Permit Application for: 1211 Cates St Name of Applicant: Juan Aguilera Description of Encroachment 4' high wrought iron fence behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 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