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:
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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.
S:WERMITS\ENCROACH\TRAFFIC\1211 Cates Sldoc